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EPICC Long term outcomes after surgery
Summary
Surgical treatments are offered to more patients than ever before with an estimated 300 million surgical procedures conducted worldwide every year. Yet, surprisingly little is known about perioperative outcomes. Patients undergoing surgery are now older and have more comorbidities than 20 years ago. A reasonable expectation from surgery is one of cure from the underlying disease, but failing this, long-term survival with minimal disability is desirable. Available studies usually focus on procedure-specific and short-term outcomes, with ‘hard’ end points such as mortality. Patient-reported outcomes are usually not reported and the effects of complications are under-investigated.
In this module we will address the long-term consequences of surgery, consider which long-term measures that may be appropriate to measure and examine how they may be implemented in real-life. Although each subsection may be studied individually and independently of the other subsections, we recommend that the module be studied in whole.
General Information
Enrolled trainees 323
Open 04.04.2022
Available for ESICM members
Student effort 3
Last Updated April 4, 2022
Intended Learning Outcomes
- The short- and long-term implications of surgery, including: common risk factors for post-surgical mortality and morbidity and current literature describing postoperative long-term outcomes
- Methods for assessing or measuring outcomes and prevention of poor postoperative outcomes
- Supportive services integral to postsurgical recovery (physiotherapy, occupational therapy, orthotics, social services
- Follow-up patients after discharge to the ward
- Participate in follow-up clinics / services where available
- Appreciates that physical and psychological consequences of surgery can have a significant and long-lasting effects
- Planning for discharge
- Recognises that surgery is a continuum throughout the 'patient journey' and is a small but often life-changing event
- Appropriate and timely referral to specialists / allied health professionals
Relevant competencies in CoBaTrICE
- 7.1. Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families
- 7.4. Communicates the continuing care requirements of patients at ICU discharge to health care professionals, patients and relatives
- 7.5. Manages the safe and timely discharge of patients from the ICU
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Disclaimer
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