Geriatrics

Latest Issue of OR Manager
October 2017

Preadmission frailty predicts adverse outcomes in geriatric trauma patients

Editor's Note In this study, preadmission clinical frailty independently predicted adverse discharge destination (ie, death or discharge to a long-term, chronic or acute care facility) in geriatric trauma patients. The analysis of 266 trauma patients 65 years and older using the Clinical Frailty Scale (CFS) and the laboratory Frailty Index…

Read More

By: Judy Mathias
September 11, 2017
Share

Cognitive assessment helps predict survival in frail surgical patients

Editor's Note Adding cognitive assessment to frailty assessment predicted poor postoperative outcomes and survival in frail patients better than either measurement alone, this study finds. The study included 330 patients having major surgery who were assessed with a four-level composite frailty scoring system, which was created by combining the Fried…

Read More

By: Judy Mathias
August 10, 2017
Share

Preop elderly assessment tool identifies postop complication risks

Editor's Note Screening elderly patients preoperatively using the Vulnerable Elders Surgical Pathways and Outcomes Assessment (VESPA) tool helped identify patients at higher risk of postoperative complications in this study. A total of 736 patients 70 years of age or older were assessed in a preoperative clinic from July 9, 2008,…

Read More

By: Judy Mathias
August 4, 2017
Share

Ketamine doesn’t affect postop delirium, pain

Editor's Note Ketamine does not decrease delirium or lower levels of pain in older adults after major surgery and might cause harm by inducing hallucinations and nightmares, this study finds. A total of 672 patients were randomly assigned to a placebo group (222 patients), a 0.5 mg/kg ketamine group (227),…

Read More

By: Judy Mathias
June 2, 2017
Share

Postop program reduces delirium risk, LOS for elderly

Editor's Note Older patients who had major abdominal surgery and received interventions that included daily orienting communication, oral and nutritional assistance, and early mobilization were less likely to experience delirium and had a shorter hospital length of stay (LOS), this study finds. A total of 377 patients were included in…

Read More

By: Judy Mathias
May 31, 2017
Share

Association of frailty with postop outcomes, resource use

Editor's Note After emergency general surgery, frailty is associated with increased rates of mortality, discharge to an institution, and resource use, this Canadian study finds. Of 77,184 patients analyzed, 19,779 were frail. Death within 1 year of surgery occurred in 33.5% of frail patients, compared with 19.8% of nonfrail patients. Risk…

Read More

By: Judy Mathias
May 9, 2017
Share

Standards developed to improve surgical care in elderly

Editor's Note The Coalition for Quality in Geriatric Surgery (CQGS) developed high-quality, valid standards to improve surgical care in the older adult, this study finds. A total of 306 of 308 standards developed were rated as valid to improve quality of geriatric surgery, 290 were rated as feasible, and 18…

Read More

By: Judy Mathias
March 10, 2017
Share

New tool predicts outcomes in elderly traumatic brain injury patients

Editor's Note Researchers at Wake Forest University, Winston-Salem, North Carolina, have developed a tool that helps predict the possibility of survival and independence at discharge for elderly patients with traumatic brain injury. The tool, which accounts for variables such as age, gender, and severity of brain injury, was evaluated in…

Read More

By: Judy Mathias
March 6, 2017
Share

Hospital volume of frail patients linked to outcomes

Editor's Note In hospitals that care for a lower volume of frail patients, frail surgical patients have increased postoperative mortality and failure to rescue, finds this study. Of 63,381 frail patients analyzed, 30-day mortality in the lowest volume quintile was 1.1%, compared to 0.9% in the highest. Adjusted analysis found…

Read More

By: Judy Mathias
February 15, 2017
Share

Frailty screening tied to improved postop outcomes

Editor's Note Implementation of a frailty screening initiative for preoperative patients was associated with reduced mortality, this study finds. In 9,153 patients screened, postoperative mortality decreased significantly at 30, 180, and 365 days, and improvements were noted in both frail and nonfrail patients. Multivariate analysis showed a three-fold survival benefit…

Read More

By: Judy Mathias
November 30, 2016
Share
Hot Products
Product Spotlight: 3M Clean-Trace ATP Cleaning Monitoring System

The 3M™ Clean-Trace™ ATP Cleaning Monitoring System provides real-time cleaning efficacy data to clearly indicate whether an endoscope or other surgical instrument has been adequately

Live chat by BoldChat