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Preoperative Disability in US Veterans.

Ali Sora1, Shreyas Pyati1, Marissa Kuo2

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PubMed
Summary
This summary is machine-generated.

More than half of patients undergoing surgery had moderate to severe disability, particularly in mobility and social participation. This highlights a need for targeted interventions to improve surgical outcomes.

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Area of Science:

  • Rehabilitation Medicine
  • Geriatric Medicine
  • Health Services Research

Background:

  • Preoperative assessment is crucial for optimizing patient outcomes.
  • Disability prevalence and its impact on surgical patients are not fully understood.
  • The World Health Organization Disability Assessment Schedule (WHODAS-12) is a validated tool for measuring disability.

Purpose of the Study:

  • To determine the prevalence of disability among patients undergoing preoperative evaluation.
  • To identify specific domains of disability most prevalent in this population.
  • To inform potential interventions for improving surgical readiness and outcomes.

Main Methods:

  • A prospective study was conducted over 4 months.
  • The 12-item World Health Organization Disability Assessment Schedule (WHODAS-12) was administered to eligible patients.
  • Patients presenting for preoperative evaluation at a US Veterans Affairs hospital were included (n = 472).

Main Results:

  • Overall, more than half of the patients exhibited at least moderate disability.
  • The highest disability burden was observed in the "Getting Around" (25%) and "Participation in Society" (20%) domains.
  • Significant disability was prevalent across multiple functional areas in the preoperative surgical population.

Conclusions:

  • A high prevalence of moderate to severe disability exists in patients seeking preoperative evaluation.
  • "Getting Around" and "Participation in Society" are key areas of functional limitation.
  • Further research is warranted to explore the link between specific disabilities and postoperative outcomes, and to develop targeted interventions.