Randomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery. BJS 2017; 104: 679-687.
Published: 15th February 2017
Authors: J. S. L. Partridge, D. Harari, F. C. Martin, J. L. Peacock, R. Bell, A. Mohammed et al.
Increasing numbers of older patients are undergoing vascular surgery. Inadequate preoperative assessment and optimization may contribute to increased postoperative morbidity and mortality.
Patients aged at least 65 years scheduled for elective aortic aneurysm repair or lower‐limb arterial surgery were enrolled in an
A total of 176 patients were included in the final analysis (control 91, intervention 85). Geometric mean length of stay was 5·53 days in the control group and 3·32 days in the intervention group (ratio of geometric means 0·60, 95 per cent c.i. 0·46 to 0·79;
In this study of patients aged 65 years or older undergoing vascular surgery, preoperative comprehensive geriatric assessment was associated with a shorter length of hospital stay. Patients undergoing assessment and optimization had a lower incidence of complications and were less likely to be discharged to a higher level of dependency. Registration number:
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