Impact of Surgery on Older Patients Hospitalized With an Acute Abdomen: Findings From the Older Persons Surgical Outcome Collaborative.

The impact of surgery compared to non-surgical management of older general surgical patients is not well researched. We examined the association between management and adverse outcomes in a cohort of emergency general surgery patients aged > 65 years. This multi-center study included 727 patients (mean+/-SD, 77.

Atypical presentation of COVID-19 in a frail older person.

Common symptoms of pandemic coronavirus disease (COVID-19) include fever and cough. We describe a 94-year-old man with well-controlled schizoaffective disorder, who presented with non-specific and atypical symptoms: delirium, low-grade pyrexia and abdominal pain. He was given antibiotics for infection of unknown source, subsequently refined to treatment for community-acquired pneumonia.

The Prevalence of Delirium in An Older Acute Surgical Population and Its Effect on Outcome.

Background: With an ageing population, an increasing number of older adults are admitted for assessment to acute surgical units. Older adults have specific factors that may influence outcomes, one of which is delirium (acute cognitive impairment).

Objectives: To establish the prevalence of delirium on admission in an older acute surgical population and its effect on mortality.

Prevalence of multimorbidity and its association with outcomes in older emergency general surgical patients: an observational study.

Objectives: Multimorbidity is the presence of 2 or more medical conditions. This increasingly used assessment has not been assessed in a surgical population. The objectives of this study were to assess the prevalence of multimorbidity and its association with common outcome measures.

The prevalence of hyperglycaemia and its relationship with mortality, readmissions and length of stay in an older acute surgical population: a multicentre study.

Background: The purpose of the study is to examine the prevalence of hyperglycaemia in an older acute surgical population and its effect on clinically relevant outcomes in this setting.

Methods: Using Older Persons Surgical Outcomes Collaboration (OPSOC) multicentre audit data 2014, we examined the prevalence of admission hyperglycaemia, and its effect on 30-day and 90-day mortality, readmission within 30 days and length of acute hospital stay using logistic regression models in consecutive patients, ≥65 years, admitted to five acute surgical units in the UK hospitals in England, Scotland and Wales. Patients were categorised in three groups based on their admission random blood glucose: <7.

Systematic review and meta-analysis: what is the evidence for oral iron supplementation in treating anaemia in elderly people?

Background: Oral iron supplementation is used widely in older people despite observational studies suggesting it is ineffective.

Objective: The aim of this systematic review was to determine if oral iron therapy is effective in elderly people with iron deficiency anaemia.

Data Sources: MEDLINE, EMBASE and The Cochrane Library databases were searched from inception to 23 January 2014.

Minimizing anticholinergic drug prescribing in older hospitalized patients: a full audit cycle.

Introduction: Anticholinergic drugs are associated with poor outcomes in older patients but no specific intervention strategies aimed at reducing anticholinergic drug exposure have been described.

Objectives: To identify whether a consultant-led medication review targeting anticholinergics would reduce anticholinergic drug exposure [number of anticholinergic drugs and Anticholinergic Risk Scale (ARS) score].

Methods: The first phase of the audit included 70 consecutive admissions (mean age 84 years, 53 women).