General surgery

The researches find that the physiology and unique set of needs that may make them more vulnerable to complications following a surgical procedure. Therefore The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Geriatric Surgery Pilot Project has, for the first time; identified four factors in older patients that are associated with an inability to return home after an operation. Because The NSQIP Geriatric Surgery Pilot Project ;is unique in that it is the only specifically define data set focus on outcomes for older surgical patients.

Geriatric Surgery Pilot

In presenting study results at the ACS Quality and Safety Conference 2019; concluding today in Washington, DC; researchers reported on geriatric-specific conditions among Geriatric Pilot Project patients that were associated with not living at home 30 days after surgery. This information can help surgeons advise patients about the possible effects of a surgical procedure on their lifestyle as well as their clinical outcomes before an operation.

It also may guide hospital quality improvement programs to address pre- and postoperative conditions that may keep elderly surgical patients from returning home soon afterward. When surgeons speak with older patients about the decision to operate; we discuss complication rates and the risk of mortality. We don’t usually talk about whether they will have the independence they had beforehand. In this study; we looked at the NSQIP data set to find factors that influence whether patients are living at home or require support for their functional needs in some kind of facility; such as a nursing home; 30 days after surgery.

Rates and the risk of mortality

This information should help us make better preoperative decisions with our patients by allowing us to tell them about the impact a surgical procedure will have on their way of life.” Study coauthor Ronnie Rosenthal, MD, FACS; co-principal investigator of the ACS-led Coalition for Quality in Geriatric Surgery (CQGS) and professor of surgery and geriatrics; Yale University School of Medicine; New Haven, CT.

The NSQIP Geriatric Surgery Pilot Project is create in 2014 to measure and improve the quality of surgical care for older Americans. The project measures preoperative variables and outcome measures that specifically target elderly patients; reflect the quality of their surgical care; and identify interventions that may improve their treatment and well-being.

“Hospitals may implement protocols that improve patient function or prevent postoperative problems that make it less likely for a patient to return home;” said study co-author Lindsey Zhang, MD, MS, John A. Hartford Foundation James C. Thompson Clinical Scholar in Residence at ACS, and a general surgery resident at the University of Chicago Medical Center.