scholarly journals Let It Rain: The American College of Surgeons Geriatric Surgery Verification Program

2020 ◽  
Author(s):  
Mark R. Katlic
Keyword(s):  
Geriatric Surgery ◽  
American College Of Surgeons

scholarly journals MEASUREMENT OF GERIATRIC SURGERY OUTCOMES IN A NATIONAL REGISTRY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S401-S401
Author(s):  
Emily Finlayson
Keyword(s):  
Older Adult ◽  
Surgical Care ◽  
National Registry ◽  
Geriatric Surgery ◽  
Improvement Program ◽  
Medical Centers ◽  
National Quality ◽  
American College Of Surgeons ◽  
Surgery Outcomes

Abstract The American College of Surgeons National Quality Improvement Program started a “Geriatric Pilot” in January 2014. This project has already collected 19 additional older adult specialty variables in more than 60,000 patients undergoing operations. Twenty-six medical centers participate from across North America. The variables collect information in the domains of cognition, function, mobility and decision-making. Variables are collected in both the pre- and post-operative settings. It is clear that the quality of surgical care cannot be limited to the immediate hospitalization. The pilot has recently expanded its use of longer-term outcomes and has begun collecting 30-day outcomes of functional status and living location.

Optimizing Surgical Quality Datasets to Care for Older Adults: Lessons from the American College of Surgeons NSQIP Geriatric Surgery Pilot

2017 ◽  
Vol 225 (6) ◽  
pp. 702-712.e1 ◽  
Author(s):  
Julia R. Berian ◽  
Lynn Zhou ◽  
Melissa A. Hornor ◽  
Marcia M. Russell ◽  
Mark E. Cohen ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Surgery ◽  
Surgical Quality ◽  
American College Of Surgeons

scholarly journals EFFECTIVENESS VS. EFFICACY: CREATING EVIDENCE FROM GERIATRIC SURGERY QUALITY PROGRAMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S401-S401
Author(s):  
Meixi Ma
Keyword(s):  
Older Adults ◽  
Postoperative Delirium ◽  
Geriatric Surgery ◽  
Improvement Program ◽  
Surgical Quality ◽  
Quality Program ◽  
National Quality ◽  
American College Of Surgeons ◽  
Quality Programs ◽  
Trajectory Following

Abstract The American College of Surgeons National Quality Improvement Program started a “Geriatric Pilot” in January 2014. This initiative has collecting specialty variable related to older adults in more than 60,000 patients 65 years and older undergoing operations. Multiple research publications have been generated from this pioneering national quality program focused on surgical quality in older adults. The purpose of this presentation will be to review the major findings of this new body of research. Studies have focused on functional trajectory following operations, postoperative delirium, and peri-operative decision-making.

scholarly journals The American College of Surgeons Geriatric Surgery Verification Program and the Practicing Colorectal Surgeon

2020 ◽  
Vol 31 (4) ◽  
pp. 100779
Author(s):  
Meixi Ma ◽  
Lindsey Zhang ◽  
Ronnie Rosenthal ◽  
Emily Finlayson ◽  
Marcia M. Russell
Keyword(s):  
Geriatric Surgery ◽  
American College Of Surgeons ◽  
Colorectal Surgeon

Pathologic Fibrinolysis is More Common in a Rural Trauma Setting

2020 ◽  
pp. 000313482097372
Author(s):  
James M. Bardes ◽  
Daniel J. Grabo ◽  
Sijin Wen ◽  
Alison Wilson
Keyword(s):  
Trauma Team ◽  
Rural Environment ◽  
Trauma Patients ◽  
Future Studies ◽  
Factors Influencing ◽  
American College Of Surgeons ◽  
Level 1 ◽  
Transferred Patients ◽  
Prehospital Time ◽  
Level 1 Trauma Center

Introduction Fibrinolysis (lysis) has been extensively studied in trauma patients. Many studies on the distribution of lysis phenotype have been conducted in setting with short prehospital time. This study aimed to evaluate the distribution of lysis phenotypes in a population with prolonged prehospital times in a rural environment. Methods A retrospective study was performed at an American College of Surgeons-verified level 1 trauma center, serving a large rural population. Full trauma team activations from January 1, 2017 to August 31, 2018 were evaluated, and all patients with an ISS>15 analyzed. Thromboelastography was routinely performed on all participants on arrival. Lysis phenotypes were classified based on LY30 results: shutdown (≤.8%), physiologic (.9-2.9%), and hyper (>2.9%). Results 259 patients were evaluated, 134 (52%) presented direct from the scene. For scene patients, lysis distribution was 24% physiologic, 49% shutdown, and 27% hyper. Transferred patients demonstrated a reduction in physiologic lysis to 14% ( P = .03), shutdown present in 66%, and hyper in 20%. Empiric prehospital tranexamic acid was given to 18 patients, physiologic lysis was present in 6%, shutdown 72%, and hyper 22%; this increase was not statistically significant ( P = .5). Conclusion Fibrinolysis phenotypes are not consistent across all trauma populations. This study showed rural trauma patients had a significantly increased rate of pathologic lysis. This was consistent for scene and transfer patients who received care at another facility prior to arrival for definitive care. Future studies to evaluate the factors influencing these differences are warranted.

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