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Outcomes for Surgical Care in the Elderly

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Geriatric Trauma and Critical Care

Abstract

The focus of this chapter is on outcomes following traumatic injury in older adults. Patient characteristics associated with outcomes are addressed, with a particular emphasis on functional status as a primary predictor of outcomes. Primary predictors of worse outcomes include increasing age, higher injury severity, more comorbidities, functional decline, and male gender. The need for comprehensive geriatric assessment is discussed, and available instruments for assessment of functional status are presented. The chapter concludes with a review of treatment characteristics (attributes of organizations and processes of care) that are associated with outcomes. Processes of care that address aging-specific needs (e.g., geriatric consultation team, geriatric trauma unit) have resulted in better outcomes and should be a focus for future research.

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Authors and Affiliations

  1. Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN, 37240, USA

    Cathy A. Maxwell RN, PhD

  2. Department of Geriatrics, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, 44109, USA

    Erin L. Rader RN, MSN, BSN

  3. Department of Surgery, VA New Jersey Healthcare System, East Orange Campus, 385 Tremont Avenue, East Orange, NJ, 07018, USA

    William F. Fallon Jr. MD, MBA, FACS

Authors
  1. Cathy A. Maxwell RN, PhD
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  2. Erin L. Rader RN, MSN, BSN
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  3. William F. Fallon Jr. MD, MBA, FACS
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Correspondence to William F. Fallon Jr. MD, MBA, FACS .

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Editors and Affiliations

  1. Department of Surgery, Lincoln Medical Center, Bronx, New York, USA

    Jay A. Yelon

  2. Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois, USA

    Fred A. Luchette

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Maxwell, C.A., Rader, E.L., Fallon, W.F. (2014). Outcomes for Surgical Care in the Elderly. In: Yelon, J., Luchette, F. (eds) Geriatric Trauma and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8501-8_22

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