October 18, 2017

ACS NSQIP pilot identifies geriatric–specific risk factors that affect surgical outcomes

By: Judy Mathias

Editor’s Note

A new pilot study from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) finds that adding geriatric-specific risk factors to traditional risk factors could significantly improve the ability of surgeons to predict poor surgical outcomes in older patients.

The study involved 36,399 older surgical patients at 31 hospitals. The researchers found that 10 of 14 geriatric-specific variables analyzed contributed in predicting morbidity and mortality in older patients having general vascular and orthopedic surgery.

To provide optimal care for older patients, surgical databases should collect measures that address cognition, decision making, mobility, and function, the authors concluded.



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