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Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients.

Publication ,  Journal Article
Vernon, TL; Rice, AN; Titch, JF; Hill, BF; Muckler, VC
Published in: Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
October 2019

PURPOSE:The primary purpose of this project was to preoperatively identify frail and vulnerable geriatric patients aged 65 or older using the Vulnerable Elders Survey (VES-13) tool, and to use those scores to assist with perioperative decision-making. DESIGN:This feasibility study was implemented as a quality improvement initiative with a postimplementation group only. METHODS:The VES-13 was introduced to the perioperative nursing staff and anesthesia providers and then added to the traditional preoperative assessment. The VES-13 scores were correlated to hospital length of stay, postanesthesia care unit stay, altered mental status, and morbidity. FINDINGS:Increased identification of older adult surgical patients at risk for increased length of stay, altered mental status, and morbidity in the preoperative setting was not evident, although the VES-13 was effective in identifying functional deficits in the older adult surgical patient. CONCLUSIONS:A detailed and comprehensive preoperative assessment remains the most efficient way to identify frail geriatric surgical patients.

Duke Scholars

Published In

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses

DOI

EISSN

1532-8473

ISSN

1089-9472

Publication Date

October 2019

Volume

34

Issue

5

Start / End Page

911 / 918.e2

Related Subject Headings

  • Vulnerable Populations
  • Surveys and Questionnaires
  • Risk Assessment
  • Quality Improvement
  • Nursing
  • Male
  • Humans
  • General Surgery
  • Frailty
  • Frail Elderly
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Vernon, T. L., Rice, A. N., Titch, J. F., Hill, B. F., & Muckler, V. C. (2019). Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients. Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses, 34(5), 911-918.e2. https://doi.org/10.1016/j.jopan.2019.01.004
Vernon, Tedrick L., Andi N. Rice, J Frank Titch, Brandyce F. Hill, and Virginia C. Muckler. “Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients.Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses 34, no. 5 (October 2019): 911-918.e2. https://doi.org/10.1016/j.jopan.2019.01.004.
Vernon TL, Rice AN, Titch JF, Hill BF, Muckler VC. Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients. Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses. 2019 Oct;34(5):911-918.e2.
Vernon, Tedrick L., et al. “Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients.Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses, vol. 34, no. 5, Oct. 2019, pp. 911-918.e2. Epmc, doi:10.1016/j.jopan.2019.01.004.
Vernon TL, Rice AN, Titch JF, Hill BF, Muckler VC. Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients. Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses. 2019 Oct;34(5):911-918.e2.
Journal cover image

Published In

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses

DOI

EISSN

1532-8473

ISSN

1089-9472

Publication Date

October 2019

Volume

34

Issue

5

Start / End Page

911 / 918.e2

Related Subject Headings

  • Vulnerable Populations
  • Surveys and Questionnaires
  • Risk Assessment
  • Quality Improvement
  • Nursing
  • Male
  • Humans
  • General Surgery
  • Frailty
  • Frail Elderly