Key result
Comprehensive geriatric assessment in the perioperative pathway for older surgical patients reduces length of hospital stay, postoperative complication rates, and mortality.
Why the study?
An older, frailer surgical population with significant multimorbidity experiences higher adverse postoperative outcomes, creating a need to restructure perioperative care pathways using comprehensive geriatric assessment.
Does comprehensive geriatric assessment and optimization improve postoperative outcomes in older patients undergoing surgery?
Does comprehensive geriatric assessment and optimization improve postoperative outcomes in older patients undergoing surgery?
Comprehensive geriatric assessment and multidisciplinary optimization in older surgical patients can reduce length of hospital stay, medical complications, and mortality.
This is the authors' abstract. We don't add key points for this paper.
Global demographic changes have resulted in an older, frailer surgical population with significant multimorbidity causing higher frequency of adverse postoperative outcomes. The need for restructuring of perioperative care pathways to address this issue has been recognised. Comprehensive geriatric assessment (CGA) and optimisation are emerging as innovative perioperative pathways. This paper describes one centre's approach in applying CGA in the surgical setting and presents the evidence in support of this. Similar models are being established in Singapore in hip fracture, colorectal and vascular populations. The challenges in the widespread adoption of such models of care are similar across settings. The global nature of translation is also discussed in this paper.
Answers are grounded in this paper and cite their sources.
May support perioperative comprehensive geriatric assessment in older surgical patients; leaves open confirmation in randomized trials.
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Rogerson et al. (2019) conducted a review in Older people undergoing surgery. Comprehensive Geriatric Assessment (CGA) vs. Standard preoperative care was evaluated. Comprehensive geriatric assessment in the perioperative pathway for older surgical patients reduces length of hospital stay, postoperative complication rates, and mortality.
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