Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/136797
Título: Characteristics and outcomes of older patients undergoing out‐ versus inpatient surgery in Europe. A secondary analysis of the Peri‐interventional Outcome Study in the Elderly (POSE)
Autores/as: Grüßer, Linda
Coburn, Mark
Schmid, Matthias
Rossaint, Rolf
Ziemann, Sebastian
Kowark, Ana
Rodríguez Pérez, Aurelio Eduardo 
Clasificación UNESCO: 32 Ciencias médicas
3213 Cirugía
321303 Anestesiología
320107 Geriatría
Palabras clave: Ambulatory surgery
Cognitive and functional outcomes
Older patients
Postoperative mortality
Fecha de publicación: 2025
Publicación seriada: Acta anaesthesiologica Scandinavica 
Resumen: Background The number of older patients undergoing surgical procedures with anaesthesia care is projected to rise. In order to cope with the increased demand, the expansion of outpatient surgery may play a decisive role. We aim to investigate the characteristics and outcomes of the older outpatient population. Patients and Methods The Peri-interventional Outcome Study in the Elderly in Europe (POSE) was a prospective multicenter study investigating characteristics and outcomes in 9497 patients aged 80 years and older undergoing a procedure with anaesthesia care. This secondary analysis of the POSE data investigated characteristics, functional and cognitive outcomes, and mortality in the outpatient in comparison to the inpatient population. Functional status was assessed as independent, partially dependent, and totally dependent at baseline and 30 days postinterventional. Cognitive status was defined by the number of recalled words (0–3) in the Mini-Cog test and brief cognitive screening at baseline and follow-up. Results Out of the 9497 older patients, 7562 were planned inpatients and 1935 planned outpatients. Older outpatients presented with fewer comorbidities and fewer medications than older inpatients and underwent minor procedures more often Their baseline functional status was more often independent, and they had a higher estimated probability of staying independent. Outpatients recalled three words at baseline and follow-up more often than inpatients. The estimated 30-day survival probabilities with 95% confidence intervals were 0.997 [0.994; 0.999] in the group with planned outpatient surgery and 0.948 [0.942; 0.953] with planned inpatient surgery. Conclusion Our results indicate that functional and cognitive status at baseline and follow-up were higher in planned outpatients than in planned inpatients. However, only short screening tools for the assessment of functional and cognitive status were used. Overall, outpatient interventions were associated with low mortality. Further research is recommended to develop scores that facilitate the identification of patients suitable for outpatient surgery.
URI: http://hdl.handle.net/10553/136797
ISSN: 0001-5172
DOI: 10.1111/aas.70021
Fuente: Acta Anaesthesiologica Scandinavica [eISSN 0001-5172], v. 69(4): e70021, (Abril 2025)
Colección:Artículos
Adobe PDF (2,73 MB)
Vista completa

Google ScholarTM

Verifica

Altmetric


Comparte



Exporta metadatos



Los elementos en ULPGC accedaCRIS están protegidos por derechos de autor con todos los derechos reservados, a menos que se indique lo contrario.