Perioperative medicine & outcomes
Feasibility and effectiveness of an evidence-based intervention bundle to improve peri-operative care of older adults: A quality improvement study
Authors' conclusion
The implementation of evidence-based interventions to improve peri-operative care of older patients showed good feasibility in clinical routine but did not improve patients' functional status, which was already at a high level pre-operatively.
Study context
- Population
- Patients ≥65 years scheduled for surgery (excluding intracranial, ophthalmological, emergency surgery and planned postoperative ICU stay), University Medical Centre, 2017–2020720 eligible
- Participants
- 278 patients
- Comparison
- Evidence-based peri-operative intervention bundle vs usual care
- Outcome
- IADL (Lawton and Brody)
- Follow-up
- 1 and 6 months postoperatively
Methodological detailshybrid implementation-effectiveness approach, single-centre, Follow-up 1 week, 1 month and 6 months after surgery, Patients sequentially assigned to three groups
- Hybrid implementation-effectiveness approach
- Single-centre
- Follow-up 1 week, 1 month and 6 months after surgery
- Patients sequentially assigned to three groups
Main finding
As reported in the abstract
No statistically significant difference between the groups in Instrumental Activities of Daily Living (IADL)
0.07, 95% CI −0.23 to 0.36, P = 0.66
No statistically significant difference between the groups in IADL 6 months after surgery
0.01, 95% CI −0.29 to 0.31, P = 0.95
Secondary outcomes
| Outcome | Control | Intervention |
|---|---|---|
| Pre-operative IADL | 9.9 (SD 0.4) /10 | 9.7 (SD 0.8) /10 |
| Range | 8 to 10 | 6 to 10 |
Implementation rate (feasibility)
- Implementation rate
- 77%
Original publication
Feasibility and effectiveness of an evidence-based intervention bundle to improve peri-operative care of older adults: A quality improvement study. Eur J Anaesthesiol Intensive Care. Published 4 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →