Perioperative medicine & outcomes
Early Outcomes Following Implementation of a Multispecialty Geriatric Surgery Pathway
Authors' conclusion
In our diverse patient population, implementation of a GSP led to improved geriatric-specific surgical outcomes.
Study context
- Population
- Patients ≥65 years undergoing inpatient procedures, 2016 to 2020 (EHR and ACS-NSQIP data)
- Participants
- 533 patients
- Exposure
- Multispecialty geriatric surgical pathway vs pre-GSP
- Geriatric surgical pathway (GSP)n = 233
- pre-GSPn = 300reference
- Outcome
- Geriatric-specific outcomes: loss of independence (LOI), LOS, major complications (CD II-IV), 30-day all-cause unplanned readmissions
Methodological detailspre/post implementation, multivariable analysis, propensity score matched
- Pre/post implementation
- Multivariable analysis
- Propensity score matched
Main finding
As reported in the abstract
LOI and major complications (multivariable analysis)
GSP vs pre-GSPOdds ratio (CI)P value
LOI
0.26(0.23–0.29)
P < 0.001Major complications
0.63(0.50–0.78)
P < 0.001Observational data: associations, not effects.
Further findings
| Outcome | Estimate | P value | |
|---|---|---|---|
| Frail patients (subgroup): LOI, major complications, LOSGSP vs pre-GSP · LOI | OR 0.30 (CI 0.25–0.37) | P < 0.001 | |
| Frail patients (subgroup): LOI, major complications, LOSGSP vs pre-GSP · major complications | OR 0.31 (CI 0.24–0.40) | P < 0.001 | |
| Frail patients (subgroup): LOI, major complications, LOSGSP vs pre-GSP · LOS | IRR 0.97 (CI 0.96–0.98) | P < 0.001 | |
| 0.20.5125Ratio (log scale) |
Original publication
Early Outcomes Following Implementation of a Multispecialty Geriatric Surgery Pathway. Ann Surg. Published 15 July 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →