Triage of high-risk surgical patients for intensive care

Using Frailty to Predict Who Will Fail Early Discharge After Laparoscopic Colorectal Surgery With an Established Recovery Pathway

“…26 the Charlson Comorbidity index is more detailed than the asa classification, 27 but has been considered more useful for research than actual patient risk stratification. 28 further, neither the asa nor Charlson Comorbidity index incorporate variables specific to the surgical procedure. 28 in addition, these scores do not accurately translate the preoperative risk factors into a predictor for adverse postoperative outcomes, such as delayed discharge.…”

“…28 further, neither the asa nor Charlson Comorbidity index incorporate variables specific to the surgical procedure. 28 in addition, these scores do not accurately translate the preoperative risk factors into a predictor for adverse postoperative outcomes, such as delayed discharge. frailty is an emerging measure in patient risk stratification 29 Previously developed tools to assess frailty had not gained widespread acceptance among providers.…”

Health Services Research and Regionalization of Care—From Policy to Practice: the Ontario Experience in Head and Neck Cancer

“…Although volume-outcome relationships are fairly ubiquitous in the medical literature [9], this relationship has not been demonstrated for all cancer surgery. Volume is only but one surrogate measure of quality and more specifically under the Donabedian category of Bstructures of care.^Some of the volume-outcome relationships in high-risk surgery can be attributed to the ability of high-volume centers to quickly identify and treat inpatient complications as well as judicious post-operative intensive care unit admission [10][11][12][13][14].…”

Anesthesia for Emergency Abdominal Surgery

“…Although there are many scoring systems that can be used to assess operative risk, 32 there is little evidence that these are routinely used to enhance decision making about postoperative location for the emergency patient, 12 and triage may be required when bed availability is limited. 33 High-risk patients undergoing EGS may not always get optimal postoperative care and may be less likely to be admitted to critical care than patients undergoing major elective procedures with much lower mortality. [34][35][36] Most patients undergoing emergency laparotomy are likely to need critical care.…”