Background: Hospitalised frail older patients are at risk of clinical deterioration. Early goals of care (GOC) documentation is vital to avoid futile/unwarranted interventions in the event of deterioration.
Aims: To investigate the impact of frailty on timely GOC and its association with clinical outcomes in hospitalised older patients.
Background: Rapid response calls (RRCs) are designed to appropriately manage clinical deterioration. However, not all RRCs are appropriate due to medical futility or the patient's wishes. Incidence and costs associated with avoidable-RRC (ARRC) remain underexplored.
View Article and Find Full Text PDFBackground: Improved life-expectancies have seen increased rates of older patients undergoing surgery worldwide. These patients are at increased risk of post-operative complications. Australian evidence is limited regarding the association between age and post-operative outcomes, especially rapid response calls (RRCs) as indicators of adverse outcomes.
View Article and Find Full Text PDFFront Med (Lausanne)
January 2018
Background: The therapeutic benefit of melatonin in the prevention and treatment of delirium is uncertain.
Objective: To perform a scoping study to describe the existing literature regarding the use of melatonin and ramelteon in the prevention and treatment of delirium.
Methods: We performed a scoping study using the Arksey and O'Malley framework to explore our objective.