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, to January 5, 2011, using the VESPA tool.
Patients were assessed on:
On multivariate analysis, the number of difficulties with activities of daily living, anticipated difficulty with postoperative self-care, Charlson Comorbidity score of 2 or more, male gender, and work-related relative value units were independently associated with postoperative complications.
The VESPA tool was administered by physician assistants in a preoperative surgery clinic at the University of Michigan Health System.
Question Can a short, functional, geriatric assessment scale (<10 minutes) administered by surgical nonphysician staff estimate risk of postsurgical complications, including traditional postoperative occurrences and novel geriatric outcomes, such as delirium and falls?Read More >>