Perioperative medicine & outcomes
A survey of perioperative medicine services with a focus on provision for older surgical patients in the UK and Republic of Ireland: SNAP-3
Authors' conclusion
The survey highlights the variation in perioperative medicine services that exist for older surgical patients despite national guidelines advocating their widespread implementation.
Study context
- Population
- Publicly administered UK and Republic of Ireland (ROI) hospitals performing surgical proceduresof 339 eligible hospitals
- Participants
- 186 participants
- Outcome
- Perioperative medicine services for older surgical patients
Methodological detailselectronic survey, national (UK and ROI)
- Electronic survey
- National (UK and ROI)
Main finding
As reported in the abstract
- Response rate
- 54.9% (186/339)
- Hospital frailty lead appointed
- 54% (101/186)
- Designated anaesthetist for cognitive impairment
- 9% (16/186)
- Anaesthetic services outside theatre focused on preoperative assessment clinics
- 146/172
- Routine postoperative involvement
- 17/166
- Nurse-led preoperative frailty assessment
- 49.5% (90/182)
- Nurse-led preoperative cognition assessment
- 44.3% (78/176)
- Nurse-led preoperative delirium risk assessment
- 13.7% (24/175)
- Clinical Frailty Scale used for frailty screening
- 87.0% (147/169)
- 4 'A's Test as cognitive assessment tool
- 45.7% [85/186]
- Abbreviated Mental Test as cognitive assessment tool
- 43.0% [80/186]
Observational data: associations, not effects.
Original publication
A survey of perioperative medicine services with a focus on provision for older surgical patients in the UK and Republic of Ireland: SNAP-3. Br J Anaesth. Published 19 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →