Featured Research

from universities, journals, and other organizations

First-of-its-kind program improves outcomes for seniors admitted for trauma

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

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."


Story Source:

The above story is based on materials provided by St. Michael's Hospital. The original article was written by Kate Taylor. Note: Materials may be edited for content and length.


Journal Reference:

  1. Magda Lenartowicz, Meredith Parkovnick, Amanda McFarlan, Barbara Haas, Sharon E. Straus, Avery B. Nathens, Camilla L. Wong. An Evaluation of a Proactive Geriatric Trauma Consultation Service. Annals of Surgery, 2012; DOI: 10.1097/SLA.0b013e318270f27a

Cite This Page:

St. Michael's Hospital. "First-of-its-kind program improves outcomes for seniors admitted for trauma." ScienceDaily. ScienceDaily, 13 November 2012. <www.sciencedaily.com/releases/2012/11/121113174920.htm>.
St. Michael's Hospital. (2012, November 13). First-of-its-kind program improves outcomes for seniors admitted for trauma. ScienceDaily. Retrieved July 23, 2014 from www.sciencedaily.com/releases/2012/11/121113174920.htm
St. Michael's Hospital. "First-of-its-kind program improves outcomes for seniors admitted for trauma." ScienceDaily. www.sciencedaily.com/releases/2012/11/121113174920.htm (accessed July 23, 2014).

Share This




More Health & Medicine News

Wednesday, July 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com
Why Do People Believe We Only Use 10 Percent Of Our Brains?

Why Do People Believe We Only Use 10 Percent Of Our Brains?

Newsy (July 22, 2014) The new sci-fi thriller "Lucy" is making people question whether we really use all our brainpower. But, as scientists have insisted for years, we do. Video provided by Newsy
Powered by NewsLook.com
Scientists Find New Way To Make Human Platelets

Scientists Find New Way To Make Human Platelets

Newsy (July 22, 2014) Boston scientists have discovered a new way to create fully functioning human platelets using a bioreactor and human stem cells. Video provided by Newsy
Powered by NewsLook.com
Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins