Key result
Nurse-led preoperative assessment linked to ~73% fewer serious postoperative complications and shorter length of stay.
Why the study?
Older people undergoing elective surgery are at highest risk of increased length of stay and postoperative complications, necessitating evaluation of improved preoperative assessment.
Does a nurse-led multidimensional preoperative assessment reduce length of stay and complications in older patients undergoing elective surgery?
Observational (n=313)
Does a nurse-led multidimensional preoperative assessment reduce length of stay and complications in older patients undergoing elective surgery?
Absolute Event Rate: 4.9% vs 8.9%
p-value: p=< 0.001
A nurse-led multidimensional preoperative assessment significantly reduces length of stay, delays, cancellations, and postoperative complications in older patients undergoing elective surgery.
No takes yet. Share an insight, caveat, or question.
May support nurse-led preoperative optimization; hypothesis-generating and requires prospective RCTs before practice change.
Ellis et al. (2012) conducted an observational in Elective surgery (n=313). Nurse-led multidimensional preoperative assessment vs. Standard care (assessment not acted on) was evaluated on Length of stay (days) (p=< 0.001). A nurse-led multidimensional preoperative assessment reduced length of stay from 8.9 to 4.9 days (P<0.001) and serious postoperative complications from 8.5% to 2.3% (P=0.01).
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