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Centre for Policy on Ageing | |
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Proactive care of older people undergoing surgery ("POPS")
— designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients | | Author(s) | Danielle Harari, Adrian Hopper, Jugdeep Dhesi |
| Journal title | Age and Ageing, vol 36, no 2, March 2007 |
| Pages | pp 190-196 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Surgery ; Medical care ; Rehabilitation ; Hospital services ; Evaluation. |
| Annotation | Older people undergoing elective surgery have high levels of pre-operative co-morbidity, and multiple potentially preventable post-operative problems delaying hospital discharge. In a "before and after" study, pre-operative comprehensive geriatric assessment incorporating prediction of adverse outcomes combined with targeted interventions reduced post-operative medical complications (including delirium and pneumonia) and length of stay in elective orthopaedic patients aged 65+. There were also improvements in areas reflecting multidisciplinary practice including pressure sores, pain control, early mobilisation and inappropriate catheter use. The MRC framework for complex interventions proved useful for evaluating a new service development and creating a business plan with a view to obtaining long-term NHS funding. A randomised controlled trial informed by the present study is ongoing. (RH). |
| Accession Number | CPA-070503210 A |
| Classmark | LKA: LK: LM: LD: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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