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Updated: Jul 6, 2025
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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[Preoperative geriatric screening in care path 'AAA']
Jozé Braspenning1,2, Anne Verstraten1, Mark Dirven3
1Radboudumc, Nijmegen. Centrum voor Geïntegreerde Zorg, afd. Geriatrie.
Nederlands Tijdschrift Voor Geneeskunde
|January 4, 2024
Summary
Preoperative geriatric screening (POGS) aids informed decisions for infrarenal abdominal aortic aneurysm patients. Geriatric advice aligns with frailty scales, showing significant value in surgical care pathways.
Area of Science:
- Geriatric Medicine
- Vascular Surgery
- Health Services Research
Background:
- Infrarenal abdominal aortic aneurysms require careful management, often involving complex treatment decisions.
- Preoperative assessment is crucial for optimizing patient outcomes and tailoring interventions.
- The role of geriatric screening in this patient population is not fully established.
Purpose of the Study:
- To determine the added value of preoperative geriatric screening (POGS) in the care pathway for infrarenal abdominal aortic aneurysms.
- To assess adherence to geriatric recommendations by vascular surgeons.
- To evaluate the consistency of geriatric advice with frailty measures.
Main Methods:
- Retrospective observational study of patients (>60 years) with non-acute aortic pathology (2018-2021).
- Data on preoperative screening (including frailty measures) and treatment extracted from medical records.
- Descriptive and inferential statistics used for analysis; manual data verification for completeness.
Main Results:
- POGS was performed in 26% of 343 included patients.
- Vascular surgeons adhered to geriatric advice in 84.2% of cases.
- Geriatric advice showed strong consistency with the Clinical Frailty Scale; ~20% of POGS data were missing.
Conclusions:
- Integrating POGS into the care pathway facilitates more informed choices for healthcare professionals and patients.
- Strong adherence suggests significant added value of geriatric screening in vascular surgery.
- Recommend incorporating POGS into the infrarenal abdominal aortic aneurysm care pathway and exploring its use in other surgical pathways.
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