作者
Courtney J Balentine, Aanand D Naik, David H Berger, Herbert Chen, Daniel A Anaya, Gregory D Kennedy
发表日期
2016/8/1
期刊
JAMA surgery
卷号
151
期号
8
页码范围
759-766
出版商
American Medical Association
简介
Importance
Advanced age is an important risk factor for discharge to postacute care (PAC) facilities including skilled nursing and rehabilitation. Factors modifying the age-related risk of discharge to PAC have not been adequately examined for surgical patients.
Objective
To evaluate how preoperative functional status and postoperative complications affect age-related risk of discharge to PAC facilities following major abdominal surgery.
Design, Setting, and Participants
Retrospective cohort study of 55 238 patients aged 18 years or older having colorectal, pancreas, or liver operations in 2011 and 2012 at hospitals participating in the National Surgical Quality Improvement Program. Age was classified as younger than 65 years, 65 to 74 years, 75 to 84 years, and 85 years or older. The study was conducted between July 1, 2014, and July 1, 2015.
Main Outcomes and Measures
The primary outcome was discharge to a …
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