Version 1
: Received: 5 August 2017 / Approved: 12 August 2017 / Online: 12 August 2017 (04:30:56 CEST)
How to cite:
Hufford, T.; Rubin, J.; Al-Qudah, G.; Prendergast, M. Implications of Education and Prehabilitation on the Geriatric Surgical Patient. Preprints2017, 2017080045. https://doi.org/10.20944/preprints201708.0045.v1
Hufford, T.; Rubin, J.; Al-Qudah, G.; Prendergast, M. Implications of Education and Prehabilitation on the Geriatric Surgical Patient. Preprints 2017, 2017080045. https://doi.org/10.20944/preprints201708.0045.v1
Hufford, T.; Rubin, J.; Al-Qudah, G.; Prendergast, M. Implications of Education and Prehabilitation on the Geriatric Surgical Patient. Preprints2017, 2017080045. https://doi.org/10.20944/preprints201708.0045.v1
APA Style
Hufford, T., Rubin, J., Al-Qudah, G., & Prendergast, M. (2017). Implications of Education and Prehabilitation on the Geriatric Surgical Patient. Preprints. https://doi.org/10.20944/preprints201708.0045.v1
Chicago/Turabian Style
Hufford, T., Ghaith Al-Qudah and Michael Prendergast. 2017 "Implications of Education and Prehabilitation on the Geriatric Surgical Patient" Preprints. https://doi.org/10.20944/preprints201708.0045.v1
Abstract
INTRODUCTION
Recently there has been a significant increase in age in the United States. It is necessary to better understand the physiological and surgical needs of these patients in order to optimize outcomes. The vast majority of procedures performed in adult patients are low-risk operations, such as laparoscopic cholecystectomy. Our aim is to investigate the outcomes, including length of stay, morbidity, mortality, re-admission and discharge disposition of the elderly population (>80) undergoing low-risk operations in our tertiary community hospital.
METHODS
A retrospective chart review was done at a tertiary community hospital. The time frame utilized was 2011-2015. Patients were excluded only on the basis of their age (< 80) at the time of operation.
RESULTS
There were a total of 30 patients who underwent laparoscopic cholecystectomy from 2011 to 2015. 21 patients (70%) were female and 9 (30%) were male. No patients were converted to an open procedure. The average age was 86.4 years and average ASA classification prior to surgery was 2.88. Higher ASA class, specifically those that were class III/IV were more likely to have an increased length of stay that was statistically significant. Overall age greater than 80 was an independent risk factor for transfer to a higher level of care upon discharge (SNF, LTAC, etc.), a surrogate marker for physical decompensation following surgery.
CONCLUSIONS
Routine surgery, such as the laparoscopic cholecystectomy, effects the elderly population in a more substantial way, and early recognition coupled with increased education for physicians regarding geriatric patients can help to reduce length of stay, morbidity, and overall physical and mental deconditioning.
Keywords
Geriatrics; Prehabilitation; Surgery; Acute Care Surgery
Subject
Medicine and Pharmacology, Medicine and Pharmacology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
