Application of comprehensive geriatric assessment in the management of elderly patients undergoing daytime surgery_West China Medical Journal

Authors：

 NI Ruyang ¹ , WANG Jing ² , LUO Changchun ³ , WANG Huimin ³ , BI Jing ³

1. Hospital Office, Beijing Geriatric Hospital, Beijing 100095, P. R. China;
2. Medical Office, Beijing Geriatric Hospital, Beijing 100095, P. R. China;
3. Nursing Department, Beijing Geriatric Hospital, Beijing 100095, P. R. China;

Corresponding?author：

NI Ruyang, Email: niruyang@126.com

Keywords：

Comprehensive geriatric assessment; daytime surgery; whole process management; elderly

DOI：

10.7507/1002-0179.202412004

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the effect of comprehensive geriatric assessment on the whole process management of elderly patients undergoing daytime surgery. Methods Elderly patients undergoing daytime surgery at Beijing Geriatric Hospital between April and September 2024 were included and randomly divided into a control group and a trial group using a random number table method. The control group received routine care for the whole process of daytime surgery, while the trial group received daytime surgery routine care, comprehensive geriatric assessment and corresponding intervention measures. The basic information, delayed discharge, adverse events of daytime surgery, and patient satisfaction of the two groups of patients were compared. Results A total of 84 elderly patients were ultimately included, with 42 in the trial group and 42 in the control group. There was no statistically significant difference in age, gender, number of comorbidities, number of oral medications, American Society of Anesthesiology anesthesia grading, and daytime surgical procedures between the two groups of patients (P>0.05). The incidence of postoperative adverse events in the trial group was lower than that in the control group (11.90% vs. 30.95%), and the patient satisfaction rate was higher than that in the control group (100.00% vs. 85.71%), with statistically significant differences (P<0.05). There was no statistically significant difference in the delayed discharge rate between the two groups (P>0.05). Conclusion For elderly patients undergoing daytime surgery, embedding comprehensive geriatric assessment in the whole process management can reduce postoperative adverse events and improve patient satisfaction, which is worth promoting.

Citation： NI Ruyang, WANG Jing, LUO Changchun, WANG Huimin, BI Jing. Application of comprehensive geriatric assessment in the management of elderly patients undergoing daytime surgery. West China Medical Journal, 2025, 40(2): 256-260. doi: 10.7507/1002-0179.202412004 Copy

1.	孫博, 劉雷, 王東光. 國內日間手術發展進程、存在問題與對策建議. 中國衛生質量管理, 2018, 25(5): 17-20.
2.	張繼東, 聞大翔, 駱華杰, 等. 日間醫療的實踐探索與思考. 中華醫院管理雜志, 2017, 33(5): 345-348.
3.	馬洪升. 日間手術的管理. 華西醫學, 2017, 32(4): 481-482.
4.	Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia, 2019, 74(6): 778-792.
5.	焦雅輝. 中國日間手術發展報告(2020). 北京: 北京大學醫學出版社, 2020: 1.
6.	沈藍君, 夏露, 彭健, 等. 老年日間手術患者延續護理需求質性研究. 中國初級衛生保健, 2022, 36(6): 114-117.
7.	魯世保. 高齡患者脊柱手術面臨的困境與挑戰. 中國骨與關節雜志, 2022, 11(11): 801-803.
8.	陳旭嬌, 嚴靜, 王建業, 等. 老年綜合評估技術應用中國專家共識. 中華老年醫學雜志, 2017, 36(5): 471-477.
9.	殷琪, 何揚利, 孫翠芳, 等. 多維度綜合診療方案在老年慢性病治療中的應用. 中國老年學雜志, 2021, 41(5): 1031-1033.
10.	吳敏婕, 吳申慧, 嚴玉茹. 老年綜合評估在老年衰弱群體中的應用現狀及思考. 中國全科醫學, 2023, 26(13): 1655-1660.
11.	周亮, 徐海濤, 劉佐忠, 等. 快速康復外科理念和老年綜合評估在高齡骨質疏松性椎體壓縮性骨折患者椎體成形術圍手術期管理的臨床應用. 脊柱外科雜志, 2024, 22(5): 308-312.
12.	劉彩云, 霍曉鵬, 劉曉萱, 等. 基于老年綜合評估的預康復在術前衰弱老年肺癌病人中的應用. 實用老年醫學, 2024, 38(11): 1153-1157.
13.	Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J, 1965, 14: 61-65.
14.	Balducci L, Stanta G. Cancer in the frail patient. A coming epidemic. Hematol Oncol Clin North Am, 2000, 14(1): 235-250.
15.	Chu JJ, Chen XJ, Shen SS, et al. A poor performance in comprehensive geriatric assessment is associated with increased fall risk in elders with hypertension: a cross-sectional study. J Geriatr Cardiol, 2015, 12(2): 113-118.
16.	Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res, 1982, 17(1): 37-49.
17.	Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 1975, 12(3): 189-198.
18.	Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 2001, 56(3): M146-M156.
19.	Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 2003, 22(4): 415-421.
20.	Jebb AT, Ng V, Tay L. A review of key likert scale development advances: 1995-2019. Front Psychol, 2021, 12: 637547.
21.	孫立, 陳杰, 申英末. 老年腹股溝疝日間手術注意事項. 中國實用外科雜志, 2018, 38(8): 873-876.
22.	鄒妮, 王丹, 傅晟靜, 等. 老年患者日間手術全程質量管理模式研究. 中國衛生質量管理, 2022, 29(1): 33-36.
23.	張倩, 張福霞. 我國老年綜合評估領域文獻的可視化分析. 醫學信息, 2024, 37(17): 41-46.
24.	Dworsky JQ, Castle SC, Lee CC, et al. Gerofit prehabilitation pilot program: preparing frail older veterans for surgery. J Healthc Qual, 2019, 41(2): 91-98.

1. 孫博, 劉雷, 王東光. 國內日間手術發展進程、存在問題與對策建議. 中國衛生質量管理, 2018, 25(5): 17-20.
2. 張繼東, 聞大翔, 駱華杰, 等. 日間醫療的實踐探索與思考. 中華醫院管理雜志, 2017, 33(5): 345-348.
3. 馬洪升. 日間手術的管理. 華西醫學, 2017, 32(4): 481-482.
4. Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia, 2019, 74(6): 778-792.
5. 焦雅輝. 中國日間手術發展報告(2020). 北京: 北京大學醫學出版社, 2020: 1.
6. 沈藍君, 夏露, 彭健, 等. 老年日間手術患者延續護理需求質性研究. 中國初級衛生保健, 2022, 36(6): 114-117.
7. 魯世保. 高齡患者脊柱手術面臨的困境與挑戰. 中國骨與關節雜志, 2022, 11(11): 801-803.
8. 陳旭嬌, 嚴靜, 王建業, 等. 老年綜合評估技術應用中國專家共識. 中華老年醫學雜志, 2017, 36(5): 471-477.
9. 殷琪, 何揚利, 孫翠芳, 等. 多維度綜合診療方案在老年慢性病治療中的應用. 中國老年學雜志, 2021, 41(5): 1031-1033.
10. 吳敏婕, 吳申慧, 嚴玉茹. 老年綜合評估在老年衰弱群體中的應用現狀及思考. 中國全科醫學, 2023, 26(13): 1655-1660.
11. 周亮, 徐海濤, 劉佐忠, 等. 快速康復外科理念和老年綜合評估在高齡骨質疏松性椎體壓縮性骨折患者椎體成形術圍手術期管理的臨床應用. 脊柱外科雜志, 2024, 22(5): 308-312.
12. 劉彩云, 霍曉鵬, 劉曉萱, 等. 基于老年綜合評估的預康復在術前衰弱老年肺癌病人中的應用. 實用老年醫學, 2024, 38(11): 1153-1157.
13. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J, 1965, 14: 61-65.
14. Balducci L, Stanta G. Cancer in the frail patient. A coming epidemic. Hematol Oncol Clin North Am, 2000, 14(1): 235-250.
15. Chu JJ, Chen XJ, Shen SS, et al. A poor performance in comprehensive geriatric assessment is associated with increased fall risk in elders with hypertension: a cross-sectional study. J Geriatr Cardiol, 2015, 12(2): 113-118.
16. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res, 1982, 17(1): 37-49.
17. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 1975, 12(3): 189-198.
18. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 2001, 56(3): M146-M156.
19. Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 2003, 22(4): 415-421.
20. Jebb AT, Ng V, Tay L. A review of key likert scale development advances: 1995-2019. Front Psychol, 2021, 12: 637547.
21. 孫立, 陳杰, 申英末. 老年腹股溝疝日間手術注意事項. 中國實用外科雜志, 2018, 38(8): 873-876.
22. 鄒妮, 王丹, 傅晟靜, 等. 老年患者日間手術全程質量管理模式研究. 中國衛生質量管理, 2022, 29(1): 33-36.
23. 張倩, 張福霞. 我國老年綜合評估領域文獻的可視化分析. 醫學信息, 2024, 37(17): 41-46.
24. Dworsky JQ, Castle SC, Lee CC, et al. Gerofit prehabilitation pilot program: preparing frail older veterans for surgery. J Healthc Qual, 2019, 41(2): 91-98.

West China Medical Journal

Application of comprehensive geriatric assessment in the management of elderly patients undergoing daytime surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content