High Burden of Palliative Care Needs of Older Adults During Emergency Major Abdominal Surgery.

ABSTRACT:

Objectives

To quantify preoperative illness burden in older adults undergoing emergency major abdominal surgery (EMAS), to examine the association between illness burden and postoperative outcomes, and to describe end-of-life care in the year after discharge.

Design

Retrospective study using data from Health and Retirement Study interviews linked to Medicare claims (2000-2012).

Setting

National population-based dataset.

Participants

Medicare beneficiaries who underwent EMAS.

Measurements

High illness burden, defined as ≥2 of the following vulnerabilities: functional dependence, dementia, use of helpers, multimorbidity, poor prognosis, high healthcare utilization. In-hospital outcomes were complications and mortality. Postdischarge outcomes included emerg

SUBMITTER: Cooper Z 

PROVIDER: S-EPMC6494102 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature