812 GERIATRIC PERIOPERATIVE CARE IS ASSOCIATED WITH REDUCED LENGTH OF STAY IN UROLOGY PATIENTS

• Published in: Age and ageing 2022-03, Vol.51 (Supplement_1)
• Main Authors: Parry, F, Rideway, A, Ibitoye, S, Nitharsan, R, Grange, R, Braude, P, Warren, K, Shipway, D
• Format: Article
• Language: English
• Subjects: Geriatric assessment; Geriatrics; Intervention; Length of stay; Multicenter studies; Patients; Perioperative care; Quality control; Quality management; Teams; Urology
• ISSN: 0002-0729; 1468-2834
• DOI: 10.1093/ageing/afac034.812

Abstract Introduction Comprehensive Geriatric Assessment (CGA) is associated with reduced length of stay and perioperative complications in older orthopaedic, gastrointestinal and vascular surgical patients [1,2,3]. Limited published data from a single UK centre [4] reports reproducing these outcomes in a urological setting. It is unclear whether these outcomes can be repeated in other urological centres. Method We piloted a Geriatric Perioperative Care service delivering CGA to older emergency urology patients admitted to within a tertiary centre. The aim of the service was to reduce length of hospital stay (LOS). We evaluated it using quality improvement methodology. Patients for review were identified using age ≥ 65 and the Clinical Frailty Scale. Patients that were transferred to another hospital team prior to discharge were excluded. Results 101 patients were included: 35 in the pre-intervention group and 66 in the post-intervention group. Mean LOS in the pre-intervention group was 7 days. In the post-intervention group, mean LOS was reduced to 3.5 days, 6 days and 5.5 days in the first, second and third months respectively. Conclusion We found that perioperative geriatric care was associated with reduced length of stay in older urology patients. These data would support the need for larger and/or multicentre studies to evaluate the relationship between geriatric intervention in urological inpatients and length of hospital stay. References: on request due to word count.