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Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals
PURPOSE: To explore geriatric care for surgical patients in Belgian hospitals and geriatricians’ reflections on current practice. METHODS: A web-based survey was developed based on literature review and local expertise, and was pretested with 4 participants. In June 2021, the 27-question survey was...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870777/ https://www.ncbi.nlm.nih.gov/pubmed/36690884 http://dx.doi.org/10.1007/s41999-023-00748-3 |
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author | Fagard, Katleen Deschodt, Mieke Geyskens, Lisa Willems, Sarah Boland, Benoît Wolthuis, Albert Flamaing, Johan |
author_facet | Fagard, Katleen Deschodt, Mieke Geyskens, Lisa Willems, Sarah Boland, Benoît Wolthuis, Albert Flamaing, Johan |
author_sort | Fagard, Katleen |
collection | PubMed |
description | PURPOSE: To explore geriatric care for surgical patients in Belgian hospitals and geriatricians’ reflections on current practice. METHODS: A web-based survey was developed based on literature review and local expertise, and was pretested with 4 participants. In June 2021, the 27-question survey was sent to 91 heads of geriatrics departments. Descriptive statistics and thematic analysis were performed. RESULTS: Fifty-four surveys were completed, corresponding to a response rate of 59%. Preoperative geriatric risk screening is performed in 25 hospitals and systematically followed by geriatric assessment in 17 hospitals. During the perioperative hospitalisation, 91% of geriatric teams provide non-medical and 82% provide medical advice. To a lesser extent, they provide geriatric protocols, geriatric education and training, and attend multidisciplinary team meetings. Overall, time allocation of geriatric teams goes mainly to postoperative evaluations and interventions, rather than to preoperative assessment and care planning. Most surgical patients are hospitalised on surgical wards, with reactive (73%) or proactive (46%) geriatric consultation. In 36 hospitals, surgical patients are also admitted on geriatric wards, predominantly orthopaedic/trauma, abdominal and vascular surgery. Ninety-eight per cent of geriatricians feel that more geriatric input for surgical patients is needed. The most common reported barriers to further implement geriatric-surgical services are shortage of geriatricians and geriatric nurses, and unadjusted legislation and financing. CONCLUSION: Geriatric care for surgical patients in Belgian hospitals is mainly reactive, although geriatricians favour more proactive services. The main opportunities and challenges for improvement are to resolve staff shortages in the geriatric work field and to update legislation and financing. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s41999-023-00748-3. |
format | Online Article Text |
id | pubmed-9870777 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-98707772023-01-25 Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals Fagard, Katleen Deschodt, Mieke Geyskens, Lisa Willems, Sarah Boland, Benoît Wolthuis, Albert Flamaing, Johan Eur Geriatr Med Research Paper PURPOSE: To explore geriatric care for surgical patients in Belgian hospitals and geriatricians’ reflections on current practice. METHODS: A web-based survey was developed based on literature review and local expertise, and was pretested with 4 participants. In June 2021, the 27-question survey was sent to 91 heads of geriatrics departments. Descriptive statistics and thematic analysis were performed. RESULTS: Fifty-four surveys were completed, corresponding to a response rate of 59%. Preoperative geriatric risk screening is performed in 25 hospitals and systematically followed by geriatric assessment in 17 hospitals. During the perioperative hospitalisation, 91% of geriatric teams provide non-medical and 82% provide medical advice. To a lesser extent, they provide geriatric protocols, geriatric education and training, and attend multidisciplinary team meetings. Overall, time allocation of geriatric teams goes mainly to postoperative evaluations and interventions, rather than to preoperative assessment and care planning. Most surgical patients are hospitalised on surgical wards, with reactive (73%) or proactive (46%) geriatric consultation. In 36 hospitals, surgical patients are also admitted on geriatric wards, predominantly orthopaedic/trauma, abdominal and vascular surgery. Ninety-eight per cent of geriatricians feel that more geriatric input for surgical patients is needed. The most common reported barriers to further implement geriatric-surgical services are shortage of geriatricians and geriatric nurses, and unadjusted legislation and financing. CONCLUSION: Geriatric care for surgical patients in Belgian hospitals is mainly reactive, although geriatricians favour more proactive services. The main opportunities and challenges for improvement are to resolve staff shortages in the geriatric work field and to update legislation and financing. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s41999-023-00748-3. Springer International Publishing 2023-01-24 2023 /pmc/articles/PMC9870777/ /pubmed/36690884 http://dx.doi.org/10.1007/s41999-023-00748-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Paper Fagard, Katleen Deschodt, Mieke Geyskens, Lisa Willems, Sarah Boland, Benoît Wolthuis, Albert Flamaing, Johan Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals |
title | Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals |
title_full | Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals |
title_fullStr | Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals |
title_full_unstemmed | Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals |
title_short | Geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute Belgian hospitals |
title_sort | geriatric care for surgical patients: results and reflections from a cross-sectional survey in acute belgian hospitals |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870777/ https://www.ncbi.nlm.nih.gov/pubmed/36690884 http://dx.doi.org/10.1007/s41999-023-00748-3 |
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