Emergency surgery is fundamentally directed toward preserving life, yet quality of life is most valuable to patients and clinicians. Khadaroo et al1 describe a quality improvement initiative where older adults undergoing emergency general surgery were physically colocated into a single unit, with the goal of reducing complications and death by providing patient-centered rehabilitation and early planning for discharge. They used the Elder-Friendly Approach to the Surgical Environment (EASE) model with consultation from a geriatrics specialist and an interdisciplinary team. This type of care redesign for older adults undergoing emergency surgery is commendable and impactful because even minor surgical procedures are associated with high risk in vulnerable elderly individuals.2
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McDonald SR, Heflin MT, Lagoo-Deenadayalan SA. Care Redesign for Emergency General Surgery in Older Adults. JAMA Surg. Published online February 12, 2020. doi:10.1001/jamasurg.2019.6022
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