Home  |  Top News  |  Most Popular  |  Video  |  Multimedia  |  News Feeds  |  Feedback
  Medicine  |  Nature & Earth  |  Biology  |  Technology & Engineering  |  Space & Planetary  |  Psychology  |  Physics & Chemistry  |  Economics  |  Archaeology
Top > Medicine, Health Care > First-of-its-kind Program Improves Outcomes for… >

First-of-its-kind Program Improves Outcomes for Seniors Admitted for Trauma

Published: November 14, 2012.
Released by St. Michael's Hospital  

TORONTO, Nov. 13, 2012—A first-of-its-kind program at St. Michael's Hospital lowers risk of delirium in elderly patients admitted for trauma and decreases the likelihood they will be discharged to a long-term care facility.

The Geriatric Trauma Consultation Service is a program where every patient over 60 admitted to the trauma service is seen by a member of the geriatric team within 72 hours.

This is a big change from previous practice, where only 4 per cent of elderly patients admitted to trauma were seen by a geriatric team member during their stay in hospital.

"Older patients admitted to trauma are very complex," said Dr. Camilla Wong, a geriatrician in the trauma unit at St. Michael's and the lead physician of the project. "They often have pre-existing health issues, resulting in more in-hospital complications and medical consultations. The traditional model addressed these later, but we felt it was necessary to involve the geriatric team at an earlier point to make sure we're providing the best possible care."

The service provides an in-depth assessment of medical, cognitive, functional and psychosocial conditions.

An evaluation of the program was recently published in Annals of Surgery.

The evaluation looked at 238 elderly patients admitted to hospital for trauma before the Geriatric Trauma Consultation Service was put in place and 248 patients after the service had been implemented.

Dr. Wong and colleagues found that the service reduced the risk of developing delirium in hospital by 10 per cent.

"Seeing a reduction in the risk of developing delirium for these patients was a very significant finding," Dr. Wong said. "Developing delirium in hospital has been associated with morbidity, longer length of hospital stay, increased hospital-acquired complications and permanent cognitive decline, such as developing dementia."

For patients who had originally come to hospital from their home, there was also a significant decline in patients being discharged to a long-term care facility. "In older patients, there's a lot more to consider than just treating their traumatic injuries," Dr. Wong said. "More than 30 per cent of the patients who come to the trauma unit are 60 and older so it's important we have programs like this to properly take into account all their needs."




The above story is based on materials provided by St. Michael's Hospital.

Translate this page: Chinese French German Italian Japanese Korean Portuguese Russian Spanish


comments powered by Disqus


Related »

Brain 
11/17/11 
Protecting Our Brains: Tackling Delirium
A new national plan of action provides a roadmap for improving the care of patients with delirium, a poorly …
Care 
11/17/11 
Paving the Way for Better Prevention And Management of Delirium
Important clues to the prevention and management of delirium, a condition affecting an estimated 7 million hospitalized Americans, are …
Delirium 
8/8/12 
Delirium Increases the Risk of Developing New Dementia 8-fold in Older Patients
Older people who have experienced episodes of delirium are significantly more likely to develop dementia, according to new research. …
Delirium 
2/24/11 
Advancing Delirium Care Through Research
INDIANAPOLIS -- At least seven million hospitalized Americans suffer from delirium each year, however the condition goes unrecognized in …
Patients 
9/16/13 
Hospital Study Finds Connection Between Dementia, Delirium And Declining Health
More than half of all patients with pre-existing dementia will experience delirium while hospitalized. Failing to detect and treat …
Dementia 
7/27/10 
Delirium in Older Patients Associated with Greater Risk of Death, Dementia And Institutionalization
A review and analysis of previous research indicates that delirium in elderly patients is associated with an increased risk …
Percent 
10/20/14 
Three-minute Assessment Successfully Identifies Delirium in Hospitalized Elders
BOSTON -- Delirium is a state of confusion that develops suddenly, often following an acute medical illness, a surgical …
More » 
 
© Newsline Group  |  About  |  Privacy Policy  |  Feedback  |  Mobile