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Related Experiment Videos

Collaboration between geriatricians and general surgeons.

G Duncan1, F I Caird

  • 1University Department of Geriatric Medicine, Southern General Hospital, Glasgow.

Health Bulletin
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

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A decade-long collaboration between surgeons and geriatricians improved care for elderly surgical patients. This joint approach facilitated timely assessments and appropriate care transitions, benefiting both patient outcomes and medical teams.

Area of Science:

  • Geriatric Medicine
  • Surgical Care
  • Healthcare Collaboration

Background:

  • Elderly patients on surgical wards often require specialized geriatric assessment and care.
  • Effective collaboration between surgical and geriatric teams is crucial for optimizing patient management.

Purpose of the Study:

  • To describe the operational outcomes of a collaborative model between general surgeons and geriatricians over ten years.
  • To evaluate the impact of joint ward rounds on patient care and resource utilization.

Main Methods:

  • Implementation of weekly ward rounds involving geriatricians and consultant surgeons on general surgical wards (120 beds).
  • Geriatricians provided medical advice and facilitated transfers for assessment, treatment, rehabilitation, or long-term/terminal care.

Related Experiment Videos

  • Tracking of patient transfers, comprising approximately 2% of patients over 65 admitted to surgical units.

    • Main Results:

    • Approximately 240 transfers were managed, with malignant disease being the most common surgical diagnosis.
    • Significant proportions of transferred patients had no operation (43%) or no medical diagnosis (18%).
    • 64% of transferred patients were discharged home, with varied lengths of stay post-assessment.

    Conclusions:

    • The collaborative system proved effective, enhancing care for elderly surgical patients.
    • The model offered benefits to both surgical and geriatric teams with minimal additional workload.
    • This interdisciplinary approach demonstrates a cost-effective method for integrated geriatric and surgical patient management.