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Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study
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| Zeitschriftentitel: | Journal of the American Geriatrics Society |
|---|---|
| Personen und Körperschaften: | , , , , , |
| In: | Journal of the American Geriatrics Society, 63, 2015, 11, S. 2388-2394 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
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| Schlagwörter: |
| author_facet |
Ali, Talal F. Warkentin, Lindsey M. Gazala, Sayf Wagg, Adrian S. Padwal, Raj S. Khadaroo, Rachel G. Ali, Talal F. Warkentin, Lindsey M. Gazala, Sayf Wagg, Adrian S. Padwal, Raj S. Khadaroo, Rachel G. |
|---|---|
| author |
Ali, Talal F. Warkentin, Lindsey M. Gazala, Sayf Wagg, Adrian S. Padwal, Raj S. Khadaroo, Rachel G. |
| spellingShingle |
Ali, Talal F. Warkentin, Lindsey M. Gazala, Sayf Wagg, Adrian S. Padwal, Raj S. Khadaroo, Rachel G. Journal of the American Geriatrics Society Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study Geriatrics and Gerontology |
| author_sort |
ali, talal f. |
| spelling |
Ali, Talal F. Warkentin, Lindsey M. Gazala, Sayf Wagg, Adrian S. Padwal, Raj S. Khadaroo, Rachel G. 0002-8614 1532-5415 Wiley Geriatrics and Gerontology http://dx.doi.org/10.1111/jgs.13783 <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine health‐related quality of life (HRQL) and cognitive and functional status before and after emergency surgical care in elderly adults.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Six‐month prospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Acute care and emergency surgery service at a single, academic tertiary care center, Edmonton, Alberta, Canada.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>Admitted individuals aged 65 and older (mean age 77.8 ± 7.9, 52% female) or their surrogates.</jats:p></jats:sec><jats:sec><jats:title>Measurements</jats:title><jats:p>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 <jats:italic>t</jats:italic>‐tests and McNemar tests were used to assess the difference between baseline and 6 months.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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 (<jats:italic>P</jats:italic> < .001). There was no statistically significant change from baseline on the Barthel Index, VES‐13, or EQ‐5D.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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.</jats:p></jats:sec> Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study Journal of the American Geriatrics Society |
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Wiley, 2015 |
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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 |
| title_unstemmed |
Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_full |
Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_fullStr |
Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_full_unstemmed |
Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_short |
Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_sort |
self‐reported outcomes in individuals aged 65 and older admitted for treatment to an acute care surgical service: a 6‐month prospective cohort study |
| topic |
Geriatrics and Gerontology |
| url |
http://dx.doi.org/10.1111/jgs.13783 |
| publishDate |
2015 |
| physical |
2388-2394 |
| description |
<jats:sec><jats:title>Objectives</jats:title><jats:p>To examine health‐related quality of life (HRQL) and cognitive and functional status before and after emergency surgical care in elderly adults.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Six‐month prospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Acute care and emergency surgery service at a single, academic tertiary care center, Edmonton, Alberta, Canada.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>Admitted individuals aged 65 and older (mean age 77.8 ± 7.9, 52% female) or their surrogates.</jats:p></jats:sec><jats:sec><jats:title>Measurements</jats:title><jats:p>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 <jats:italic>t</jats:italic>‐tests and McNemar tests were used to assess the difference between baseline and 6 months.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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 (<jats:italic>P</jats:italic> < .001). There was no statistically significant change from baseline on the Barthel Index, VES‐13, or EQ‐5D.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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.</jats:p></jats:sec> |
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| author | Ali, Talal F., Warkentin, Lindsey M., Gazala, Sayf, Wagg, Adrian S., Padwal, Raj S., Khadaroo, Rachel G. |
| author_facet | Ali, Talal F., Warkentin, Lindsey M., Gazala, Sayf, Wagg, Adrian S., Padwal, Raj S., Khadaroo, Rachel G., Ali, Talal F., Warkentin, Lindsey M., Gazala, Sayf, Wagg, Adrian S., Padwal, Raj S., Khadaroo, Rachel G. |
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| description | <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine health‐related quality of life (HRQL) and cognitive and functional status before and after emergency surgical care in elderly adults.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Six‐month prospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Acute care and emergency surgery service at a single, academic tertiary care center, Edmonton, Alberta, Canada.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>Admitted individuals aged 65 and older (mean age 77.8 ± 7.9, 52% female) or their surrogates.</jats:p></jats:sec><jats:sec><jats:title>Measurements</jats:title><jats:p>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 <jats:italic>t</jats:italic>‐tests and McNemar tests were used to assess the difference between baseline and 6 months.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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 (<jats:italic>P</jats:italic> < .001). There was no statistically significant change from baseline on the Barthel Index, VES‐13, or EQ‐5D.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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.</jats:p></jats:sec> |
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| spelling | Ali, Talal F. Warkentin, Lindsey M. Gazala, Sayf Wagg, Adrian S. Padwal, Raj S. Khadaroo, Rachel G. 0002-8614 1532-5415 Wiley Geriatrics and Gerontology http://dx.doi.org/10.1111/jgs.13783 <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine health‐related quality of life (HRQL) and cognitive and functional status before and after emergency surgical care in elderly adults.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Six‐month prospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Acute care and emergency surgery service at a single, academic tertiary care center, Edmonton, Alberta, Canada.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>Admitted individuals aged 65 and older (mean age 77.8 ± 7.9, 52% female) or their surrogates.</jats:p></jats:sec><jats:sec><jats:title>Measurements</jats:title><jats:p>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 <jats:italic>t</jats:italic>‐tests and McNemar tests were used to assess the difference between baseline and 6 months.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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 (<jats:italic>P</jats:italic> < .001). There was no statistically significant change from baseline on the Barthel Index, VES‐13, or EQ‐5D.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>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.</jats:p></jats:sec> Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study Journal of the American Geriatrics Society |
| spellingShingle | Ali, Talal F., Warkentin, Lindsey M., Gazala, Sayf, Wagg, Adrian S., Padwal, Raj S., Khadaroo, Rachel G., Journal of the American Geriatrics Society, Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study, Geriatrics and Gerontology |
| 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 |
| title_full | Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_fullStr | Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_full_unstemmed | Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_short | Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| title_sort | self‐reported outcomes in individuals aged 65 and older admitted for treatment to an acute care surgical service: a 6‐month prospective cohort study |
| title_unstemmed | Self‐Reported Outcomes in Individuals Aged 65 and Older Admitted for Treatment to an Acute Care Surgical Service: A 6‐Month Prospective Cohort Study |
| topic | Geriatrics and Gerontology |
| url | http://dx.doi.org/10.1111/jgs.13783 |