Cargando…
Management of hospital admission, patient information and education, and immediate preoperative care
An increasing proportion of surgical procedures involves elderly and frail patients in high-income countries, leading to an increased risk of postoperative complications. Complications significantly impact patient outcomes and costs, due to prolonged hospitalization and loss of autonomy. Consequentl...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540991/ https://www.ncbi.nlm.nih.gov/pubmed/37779563 http://dx.doi.org/10.4103/sja.sja_592_23 |
_version_ | 1785113827527884800 |
---|---|
author | Greco, Massimiliano Calgaro, Giulio Cecconi, Maurizio |
author_facet | Greco, Massimiliano Calgaro, Giulio Cecconi, Maurizio |
author_sort | Greco, Massimiliano |
collection | PubMed |
description | An increasing proportion of surgical procedures involves elderly and frail patients in high-income countries, leading to an increased risk of postoperative complications. Complications significantly impact patient outcomes and costs, due to prolonged hospitalization and loss of autonomy. Consequently, it is crucial to evaluate preoperative functional status in older patients, to tailor the perioperative plan, and evaluate risks. The hospital environment often exacerbates cognitive impairments in elderly and frail patients, also increasing the risk of infection, falls, and malnutrition. Thus, it is essential to work on dedicated pathways to reduce hospital readmissions and favor discharges to a familiar environment. In this context, the use of wearable devices and telehealth has been promising. Telemedicine can be used for preoperative evaluations and to allow earlier discharges with continuous monitoring. Wearable devices can track patient vitals both preoperatively and postoperatively. Preoperative education of patient and caregivers can improve postoperative outcomes and is favored by technology-based approach that increases flexibility and reduce the need for in-person clinical visits and associated travel; moreover, such approaches empower patients with a greater understanding of possible risks, moving toward shared decision-making principles. Finally, caregivers play an integral role in patient improvement, for example, in the prevention of delirium. Hence, their inclusion in the care process is not only advantageous but essential to improve perioperative outcomes in this population. |
format | Online Article Text |
id | pubmed-10540991 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-105409912023-10-01 Management of hospital admission, patient information and education, and immediate preoperative care Greco, Massimiliano Calgaro, Giulio Cecconi, Maurizio Saudi J Anaesth Review Article An increasing proportion of surgical procedures involves elderly and frail patients in high-income countries, leading to an increased risk of postoperative complications. Complications significantly impact patient outcomes and costs, due to prolonged hospitalization and loss of autonomy. Consequently, it is crucial to evaluate preoperative functional status in older patients, to tailor the perioperative plan, and evaluate risks. The hospital environment often exacerbates cognitive impairments in elderly and frail patients, also increasing the risk of infection, falls, and malnutrition. Thus, it is essential to work on dedicated pathways to reduce hospital readmissions and favor discharges to a familiar environment. In this context, the use of wearable devices and telehealth has been promising. Telemedicine can be used for preoperative evaluations and to allow earlier discharges with continuous monitoring. Wearable devices can track patient vitals both preoperatively and postoperatively. Preoperative education of patient and caregivers can improve postoperative outcomes and is favored by technology-based approach that increases flexibility and reduce the need for in-person clinical visits and associated travel; moreover, such approaches empower patients with a greater understanding of possible risks, moving toward shared decision-making principles. Finally, caregivers play an integral role in patient improvement, for example, in the prevention of delirium. Hence, their inclusion in the care process is not only advantageous but essential to improve perioperative outcomes in this population. Wolters Kluwer - Medknow 2023 2023-08-18 /pmc/articles/PMC10540991/ /pubmed/37779563 http://dx.doi.org/10.4103/sja.sja_592_23 Text en Copyright: © 2023 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Greco, Massimiliano Calgaro, Giulio Cecconi, Maurizio Management of hospital admission, patient information and education, and immediate preoperative care |
title | Management of hospital admission, patient information and education, and immediate preoperative care |
title_full | Management of hospital admission, patient information and education, and immediate preoperative care |
title_fullStr | Management of hospital admission, patient information and education, and immediate preoperative care |
title_full_unstemmed | Management of hospital admission, patient information and education, and immediate preoperative care |
title_short | Management of hospital admission, patient information and education, and immediate preoperative care |
title_sort | management of hospital admission, patient information and education, and immediate preoperative care |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540991/ https://www.ncbi.nlm.nih.gov/pubmed/37779563 http://dx.doi.org/10.4103/sja.sja_592_23 |
work_keys_str_mv | AT grecomassimiliano managementofhospitaladmissionpatientinformationandeducationandimmediatepreoperativecare AT calgarogiulio managementofhospitaladmissionpatientinformationandeducationandimmediatepreoperativecare AT cecconimaurizio managementofhospitaladmissionpatientinformationandeducationandimmediatepreoperativecare |