Can a new pre-surgery approach help older adults?
Researchers found that a new approach to preoperative care for older adults can streamline the assessment process and save healthcare costs. The Perioperative care for Older People undergoing Surgery (POPS) service was implemented to help patients aged 65 and older with a clinical frailty scale score of 5 or higher. This pathway allowed for direct referrals to geriatric assessments, reducing the need for multiple anaesthetic consultations.
This matters for anyone looking to age well, especially those facing surgery. The study included 182 older patients, with an average age of 81, and showed that 82% did not need additional anaesthetic evaluations. This means that many older adults can undergo surgery with fewer preoperative hurdles, potentially leading to a smoother experience and less stress. Additionally, the new pathway saved the healthcare system approximately £27,450 by avoiding duplicate anaesthetic appointments, which can be particularly beneficial in a system often stretched for resources.
The evidence comes from a review of data over a 13-month period, focusing on patients assessed by geriatricians in the POPS clinic. While the results are promising, they are based on a specific cohort and highlight the need for tailored assessments. It’s crucial to recognize when dual assessments are necessary to ensure that frail patients receive optimal care before surgery. This approach can help older adults navigate surgical procedures more effectively, potentially leading to better outcomes and a smoother recovery process.