January 5, 2018

Interdisciplinary program improves outcomes for older surgical patients

By: Judy Mathias

Editor’s Note

In this study, an interdisciplinary program that includes a coordinated approach by healthcare professionals in surgery, geriatrics, and anesthesiology was associated with improved postoperative outcomes for high-risk older patients having elective abdominal surgery.

Compared with a control group (143 patients), older patients participating in the Perioperative Optimization of Senior Health program at Duke Health, Durham, North Carolina (183 patients):

  • had shorter lengths of stay (4 vs 6 days)
  • had lower readmission rates at 7 (2.8% vs 9,9%) and 30 days (7.8% vs 18.35)
  • were more likely to be discharged home with self-care (62.3% vs 51.1%)
  • experienced fewer complications (0.9 vs 1.4), despite higher rates of documented delirium (28.4% vs 5.6%).

Developing an interdisciplinary approach to treating older surgical patients is an important step toward improving surgical outcomes, the authors say.



Sign Up For OR a.m.
Sign up for the free OR a.m. eLetter to get news like this in your inbox every morning!

Upcoming Webinars
Live chat by BoldChat