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Geriatricians and the older emergency general surgical patient: proactive assessment and patient centred
Arturo Vilches-Moraga1,2, Jenny Fox3
1Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK. arturo.vilches-moraga@srft.nhs.uk.
Abstract:
Increasing numbers of older patients require Emergency admission under General Surgery (EGS). This is a group of heterogeneous and often complex individuals with varying degrees of multimorbidity, polypharmacy, functional, mobility and cognitive impairment. Our article describes the benefits of comprehensive assessment coupled with patient-centred multiprofessional interventions and timely discharge planning. We discuss diverse service models and describe our experience in the planning, development and consolidation of a perioperative service for older EGS patients.
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