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- Title
Self-Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6-Month Prospective Cohort Study.
- Authors
Ali, Talal F.; Warkentin, Lindsey M.; Gazala, Sayf; Wagg, Adrian S.; Padwal, Raj S.; Khadaroo, Rachel G.; Brisebois, Ronald; Buttenschoen, Klaus; Fathimani, Kamran; Hamilton, Stewart M.; Lees, Gordon M.; McMullen, Todd P. W.; Patton, William; Wijngaarden‐Stephens, Mary; Drew Sutherland, J.; Wang, Haili; Widder, Sandy L.; Williams, David C.; Tul, Yvonne
- Abstract
OBJECTIVES: To examine health-related quality of life (HRQL) and cognitive and functional status before and after emergency surgical care in elderly adults. DESIGN: Six-month prospective cohort study. SETTING: Acute care and emergency surgery service at a single, academic tertiary care center, Edmonton, Alberta, Canada. PARTICIPANTS: Admitted individuals aged 65 and older (mean age 77.8 ± 7.9, 52% female) or their surrogates. MEASUREMENTS: Abbreviated Mental Test Score-4 (AMTS), Barthel Index, Vulnerable Elders Survey (VES-13), and EuroQol-5 Dimensional Scale (EQ-5D) completed by participants or their surrogates within 24 hours of admission to the hospital and 6 months after discharge. Paired t-tests and McNemar tests were used to assess the difference between baseline and 6 months. RESULTS: One hundred fifty-five consecutive individuals (including 16 surrogates) were enrolled. Sixteen (10%) died within 6 months of discharge, and 116 (75%, including 18 surrogates) completed a follow-up assessment 6 months after discharge. Cognitive status improved substantially over 6 months, with 72 (52%) of participants having AMTS scores showing cognitive impairment at baseline and four (4%) having AMTS scores showing cognitive impairment at 6 months (P < .001). There was no statistically significant change from baseline on the Barthel Index, VES-13, or EQ-5D. CONCLUSION: There was significant cognitive improvement in older adults after surgical hospitalization. HRQL improved back to age-matched population norms. These results suggest that elderly adults admitted for emergency surgery have good cognitive, functional, and HRQL outcomes.
- Subjects
ALBERTA; GERIATRIC assessment; COGNITIVE testing; CRITICAL care medicine; LONGITUDINAL method; EVALUATION of medical care; QUALITY of life; RESEARCH funding; SELF-evaluation; OPERATIVE surgery; T-test (Statistics); DATA analysis; VISUAL analog scale; PRE-tests &; post-tests; DATA analysis software; DESCRIPTIVE statistics
- Publication
Journal of the American Geriatrics Society, 2015, Vol 63, Issue 11, p2388
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/jgs.13783