Usefulness of eight screening tools for predicting frailty and postoperative short- and long-term outcomes among older patients with cancer who qualify for abdominal surgery

AbstractWe looked at existing recommendations and supporting evidence on the effectiveness of universal screening for language and speech delay in children under 5 years of age for short- and long-term outcomes.We conducted a literature search up to the 20th of November 2019 by using key terms and manual search in selected sources. We summarized the recommendations and the strength of the recommendation when and as reported by the authors. We summarized the main findings of systematic reviews with the certainty of the evidence as reported on the accuracy of the screening tests for detecting language and speech delay, the efficacy of existing interventions for children with language and speech delay, and the potential harms associated with screening and the associated interventions.Several screening tools are used to assess language and speech delay with a wide variation in their accuracy. Targeted interventions improve some measures of speech and language delay and disorders. However, there is no evidence on the effectiveness of such interventions in children detected by screening with no specific concerns about their speech or language before screening. There is no evidence assessing whether universal screening for language and speech delay in a primary care setting improves short and long-term outcomes (including speech and language outcomes and other outcomes). Finally, there is no evidence on the harms of screening for language and speech delay in primary care settings, and there is limited evidence assessing the potential harms of interventions.

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Long-term outcomes of major abdominal surgery and postoperative delirium after multimodal prehabilitation of older patients

Surgery Today ◽

10.1007/s00595-020-02044-0 ◽

2020 ◽

Vol 50 (11) ◽

pp. 1461-1470

Author(s):

Ties L. Janssen ◽

Ewout W. Steyerberg ◽

Chantal C. H. A. van Hoof-de Lepper ◽

Tom C. J. Seerden ◽

Dominique C. de Lange ◽

...

Keyword(s):

Abdominal Surgery ◽

Older Patients ◽

Postoperative Delirium ◽

Major Abdominal Surgery ◽

Long Term Outcomes

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Short- and Long-term Outcomes of Critically Ill Patients With Cancer and Prolonged ICU Length of Stay

CHEST Journal ◽

10.1378/chest.08-0359 ◽

2008 ◽

Vol 134 (3) ◽

pp. 520-526 ◽

Cited By ~ 56

Author(s):

Márcio Soares ◽

Jorge I.F. Salluh ◽

Viviane B.L. Torres ◽

Juliana V.R. Leal ◽

Nelson Spector

Keyword(s):

Length Of Stay ◽

Critically Ill ◽

Critically Ill Patients ◽

Long Term Outcomes ◽

Patients With Cancer ◽

Icu Length Of Stay ◽

Short And Long Term

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Critical illness and intensive care

Oxford Textbook of Geriatric Medicine ◽

10.1093/med/9780198701590.003.0033 ◽

2017 ◽

pp. 237-246

Author(s):

Maria Carlo Duggan ◽

Kwame Frimpong ◽

E. Wesley Ely

Keyword(s):

Intensive Care ◽

Critical Illness ◽

Older Patients ◽

Evidence Based ◽

Psychological Consequences ◽

Long Term Outcomes ◽

Icu Patients ◽

Younger Patients ◽

Short And Long Term

Older adults constitute the majority of intensive care unit (ICU) patients, and are increasing in both absolute and relative numbers. Critical care for elderly people should be tailored to their unique physiology, susceptibilities to complications, social circumstances, values, and goals for their care. Knowledge of the short and long-term outcomes of critical illness should guide therapy and goals of care. With a growing number of elderly ICU survivors, the functional, cognitive, and psychological consequences of critical illness and ICU exposure will become a more prominent problem to address. In this chapter, we will discuss morbidity and mortality of elderly ICU patients, provide an evidence-based bundle for the management of pain, agitation, and delirium that has been developed with the vulnerabilities of older patients in mind (though it is also being applied broadly to younger patients as well), and explore the long-term physical, cognitive, and psychological consequences that ICU survivors face.

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