Patients identified as frail before surgery less likely to die one year after

New Research Sheds Light on Benefits of Preoperative Care for Frail Older Patients Society has long understood the importance of preoperative care for older patients scheduled to undergo surgery. Today, new research published in JAMA Surgery brings to light the importance of comprehensive preoperative care, particularly for frail older patients. The research team conducted a randomized clinical trial involving 1077 patients aged 65 and older who were scheduled to undergo major noncardiac surgery. Each patient was screened for frailty, and those deemed to be frail were randomly assigned to receive either comprehensive preoperative care or standard preoperative care. The comprehensive preoperative care package provided to the first group included conversation about possible outcomes with a physician, help preparing the patient’s body for surgery, and resources for postoperative insurance enrollment, physical and psychological services, and self-care. The researchers then followed up with each patient one year after the surgery. The results of the research showed that after one year, the mortality rate of the group receiving the comprehensive preoperative care package was significantly lower than that of the group receiving the standard preoperative care package—3% versus 8%. Furthermore, patients receiving the comprehensive preoperative care were more likely to be independent with activities of daily living at one year—73% versus 63%. This research supports the importance of providing comprehensive preoperative care to frail older patients who are scheduled to undergo major noncardiac surgery. The researchers suggest that the comprehensive preoperative care package could help to reduce mortality and improve outcomes for these patients. The results of this research have important implications for aged care professionals. It is now clear that providing comprehensive preoperative care to frail older patients is essential for improving their outcomes and potentially lengthening their lives. This research provides strong evidence that aged care professionals should prioritize preoperative care for these patients, who are among the most vulnerable. Aged care professionals must ensure that frail older patients who are scheduled for major noncardiac surgery are receiving comprehensive preoperative care. This care can include conversations with a physician about possible outcomes, help preparing their body for surgery, and resources for postoperative insurance enrollment, physical and psychological services, and self-care. By focusing on preoperative care, aged care professionals can help to ensure that frail older patients receive the care they need to stay safe and healthy throughout their surgical procedures. As demonstrated by this research, comprehensive preoperative care can have a positive impact on their outcomes, potentially helping to reduce mortality in this high-risk population. Preoperative care is essential for ensuring the safety and well-being of frail older patients. A new study published in JAMA Surgery showcases the importance of comprehensive preoperative care for these high-risk patients. The research found that when frail older patients scheduled for major noncardiac surgery received comprehensive preoperative care, including conversations about outcomes and help preparing their body for surgery, they had a lower mortality rate and better outcomes one year after the surgery. This new research is a reminder to the aged care community that comprehensive preoperative care should be a priority for frail older patients undergoing major noncardiac surgery. With comprehensive preoperative care, aged care professionals can help these patients stay safe and healthy throughout their surgical procedures, while potentially reducing the mortality risk associated with these surgeries. Preoperative care can include conversations with a physician about possible outcomes, help preparing the patient’s body for surgery, and resources for postoperative insurance enrollment, physical and psychological services, and self-care. These conversations can help with preoperative planning, providing the patient with important knowledge about the potential outcomes of their surgery and potential postoperative care needs. Preparation for surgery can include measures such as improving nutrition and physical activity, as well as assessing and improving mental health. Resources for insurance enrollment, physical and psychological services, and self-care are essential for postoperative recovery. The results of this research demonstrate the importance of comprehensive preoperative care for frail older patients scheduled for major noncardiac surgery. Aged care professionals should prioritize preoperative care for these patients, who are among the most vulnerable. By taking a comprehensive approach to preoperative care, these professionals can help to reduce mortality and improve outcomes for these patients. In summary, new research published in JAMA Surgery underscores the importance of comprehensive preoperative care for frail older patients undergoing major noncardiac surgery. This research shows that providing conversations about possible outcomes and help preparing the patient’s body for surgery can reduce mortality and improve outcomes. Aged care professionals should prioritize preoperative care for these patients, taking a comprehensive approach to ensure the best possible outcomes. Taking such measures can help to reduce mortality and improve outcomes, while helping these patients stay safe and healthy throughout their surgical procedures.

https://www.lifetechnology.com/blogs/life-technology-medical-news/patients-identified-as-frail-before-surgery-less-likely-to-die-one-year-after

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