Presentation Details
| Comparison of post operatve outcomes of older adult patients undergoing Upper Gastrointestinnal and Colorectal surgery following Geriatric preoperative clinic based optimsation versus no Geriatric Pre-operative clinic optimisation Afsana Habib1, Aoife Fox2, Niamh Stanley3. 1Consultant Geriatrician, Perth, Australia.2RMO, Perth, Australia.3RMO, PERTH, Australia |
Abstract
BACKGROUND: The Geriatric Preoperative Service (GPS) provides preoperative reviews by a geriatrician for older adults undergoing elective surgery. During the review, patients receive a Comprehensive Geriatric Assessment (CGA)—a structured evaluation of medical, cognitive, functional, and psychosocial factors—aimed to optimize perioperative management. This audit aimed to assess whether review in the GPS was associated with improved surgical outcomes compared with standard preoperative care.
METHODS: Retrospective review was undertaken of 100 patients aged ≥65 years (≥60 for Aboriginal and Torres Strait Islander patients) who underwent elective general surgery between January 2024 and August 2025. Fifty patients attended the GPS and received CGA, while fifty underwent similar procedures without clinic review. Outcomes included hospital-acquired complications (HACs), length of stay (LOS), readmission rate, and mortality.
RESULTS: The average length of stay was shorter for patients reviewed in the geriatric preoperative clinic
(6.5 days) compared with those not reviewed (10.4 days). This difference was statistically
significant.
*Patients seen in the clinic had about 22% lower odds of a hospital-acquired
complication, but the difference is not statistically significant. Although no deaths
occurred in the clinic cohort compared with two (4%) in the non-clinic cohort, the
difference was not statistically significant, likely reflecting the small sample size.
CONCLUSIONS: Preoperative geriatrician review incorporating CGA was associated with reduced length of
inpatient hospital admission. These findings support the integration of geriatric assessment into
preoperative care pathways. Future study in large group will be beneficial for inpatient cost benefit from significan reduction of cost associated with Hospital acquired complication reduction.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
METHODS: Retrospective review was undertaken of 100 patients aged ≥65 years (≥60 for Aboriginal and Torres Strait Islander patients) who underwent elective general surgery between January 2024 and August 2025. Fifty patients attended the GPS and received CGA, while fifty underwent similar procedures without clinic review. Outcomes included hospital-acquired complications (HACs), length of stay (LOS), readmission rate, and mortality.
RESULTS: The average length of stay was shorter for patients reviewed in the geriatric preoperative clinic
(6.5 days) compared with those not reviewed (10.4 days). This difference was statistically
significant.
*Patients seen in the clinic had about 22% lower odds of a hospital-acquired
complication, but the difference is not statistically significant. Although no deaths
occurred in the clinic cohort compared with two (4%) in the non-clinic cohort, the
difference was not statistically significant, likely reflecting the small sample size.
CONCLUSIONS: Preoperative geriatrician review incorporating CGA was associated with reduced length of
inpatient hospital admission. These findings support the integration of geriatric assessment into
preoperative care pathways. Future study in large group will be beneficial for inpatient cost benefit from significan reduction of cost associated with Hospital acquired complication reduction.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
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