The Journal of surgical research · 2025
Outcomes Observed Within Embedded Geriatric Services in Emergency General Surgery: A Systematic Review.
СтатьяСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Logan Henry, Phillips Ashleigh, Holliday Elizabeth, Gani Jonathan, Sagi Clarissa, O'Neill Christine
Аннотация
INTRODUCTION: An aging population and advances in surgery have led to increasing need for geriatric management of elderly patients undergoing emergency general surgical care. Integration of a proactive geriatric service for these patients may beneficially impact both traditionally measured hospital and patient-based metrics. Here, we synthesize evidence regarding measurable outcomes of embedded geriatric care within emergency general surgery.
METHODS: A comprehensive search was conducted across Medline, Embase, Cochrane Library, CINAHL, and Scopus databases by two independent reviewers. The included publications reported outcomes of embedded geriatric services in emergency general surgery. Prespecified outcomes assessed in these studies included patient-reported outcomes, length of stay (LOS), mortality rate, complication rate, intensive care admission, readmission rate, and institutionalization.
RESULTS: A total 3100 studies were imported, and eight prospective prepost studies were included in the final review. Length of stay, mortality rate, and medical complication rates were the most frequently assessed outcomes, with each recorded in at least 5 of the 8 included studies. 7 of the 8 studies reported reduced LOS, with four of these reporting a statistically significant difference. The results were variable for other hospital outcomes, including mortality, readmission, and complication rates. Only one source reported on patient-related outcomes, utilizing two tools at multiple time points. No significant prepost effects on patient-related outcomes were noted in this study.
CONCLUSIONS: Published data on integrating geriatric care in emergency general surgery is limited, but decreased LOS is consistently reported. Further research is necessary to confirm wider effects of integrated geriatric care on relevant hospital and patient outcomes.
METHODS: A comprehensive search was conducted across Medline, Embase, Cochrane Library, CINAHL, and Scopus databases by two independent reviewers. The included publications reported outcomes of embedded geriatric services in emergency general surgery. Prespecified outcomes assessed in these studies included patient-reported outcomes, length of stay (LOS), mortality rate, complication rate, intensive care admission, readmission rate, and institutionalization.
RESULTS: A total 3100 studies were imported, and eight prospective prepost studies were included in the final review. Length of stay, mortality rate, and medical complication rates were the most frequently assessed outcomes, with each recorded in at least 5 of the 8 included studies. 7 of the 8 studies reported reduced LOS, with four of these reporting a statistically significant difference. The results were variable for other hospital outcomes, including mortality, readmission, and complication rates. Only one source reported on patient-related outcomes, utilizing two tools at multiple time points. No significant prepost effects on patient-related outcomes were noted in this study.
CONCLUSIONS: Published data on integrating geriatric care in emergency general surgery is limited, but decreased LOS is consistently reported. Further research is necessary to confirm wider effects of integrated geriatric care on relevant hospital and patient outcomes.