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Elective & Emergency Surgery in the Elderly: An Age Old Problem (2010)

This NCEPOD report highlights the process of care of elderly patients who died within 30 days of emergency or elective surgery. The report takes a critical look at areas where the care of patients might have been improved, from lack of input from Medicine for the Care of Older People to the level of pain relief provided. Remediable factors have also been identified in the clinical and the organisational care of these patients.
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View/Save Report (1.3Mb)
An Adobe Acrobat copy of this report is available to view/save. The Adobe Acrobat reader is required which is free to download here.

Download Summary Report

Executive Summary (185Kb)
An Adobe Acrobat copy of the summary of this report is available to view/save. The Adobe Acrobat reader is required which is free to download here.

Download EESE Toolkit Elective & Emergency Surgery in the Elderly toolkit
Please click here to download the full EESE toolkit.
Report Slides Slides (21Mb)
Mrs Heather Freeth, Clincal Researcher, NCEPOD
Dr Kathy Wilkinson, Clinical Co-ordinator, NCEPOD
Mr Ian Martin, Clinicial Co-ordinator, NCEPOD
Dr Mike Gough, Clinicial Co-ordinator, NCEPOD
(To download the Microsoft PowerPoint viewer please click here.)
 

An Age Old Problem - Reflections and how we can do better (700kb)
Dr Finbar Martin, President of the British Geriatrics Society

An Age Old Problem - Review of NCEPOD report (313Kb)
Professor David Oliver, National Clinical Director for Older People

An age Old Problem - Review of NCEPOD report (2.3Mb)
Professor John MacFie, Representing the Association of Surgeons for Great Britain and Ireland

An Age Old Problem - The tide has turned (A Response on behalf of the British Orthopaedic Association) (2.5Mb)
Miss Clare Marx, Immediate Past President, Representing the British Orthopaedic Association

An Age Old Problem - Insights from Anaesthesia (3.4Mb)
Dr David Counsell, Consultant Anaesthetist and Chair of the Acute Pain Special Interest Group of the British Pain Society

(To download the Microsoft PowerPoint viewer please click here.)

  Organisational Data Comparisons
Organisational data provided by all hospitals that completed this section of the study has been analysed and categorised by the type of hospital as indicated by each hospital in the organisational questionnaire.
  Self assessment checklist for trusts (84Kb)
This tool allows Trusts to check their progress in adopting NCEPOD's recommendations following the 2010 report 'An Age Old Problem'. This tool is for your use, and information generated should be shared within your trust. We do not require the completed forms to be returned to NCEPOD.
(If you require a Microsoft Word reader, please click here).

To download a Microsoft Excel version of the self assessment checklist, please click here.
(If you require a Microsoft Excel reader, please click here).
  Useful Links
Links to organisations which supplement the data in this report:

Age Anaesthesia Association www.aaa-online.org.uk
The British Geriatrics Society www.bgs.org.uk
The Royal College of Surgeons of England www.rcseng.ac.uk
The British Orthopaedic Association www.boa.ac.uk
The National Hip Fracture Database www.nhfd.co.uk
The Royal College of Anaesthetists www.rcoa.ac.uk
British Pain Society www.britishpainsociety.org
The Association of Surgeons of Great Britain and Ireland www.asgbi.org.uk
The Association of Anaesthetists of Great Britain and Ireland www.aagbi.org.uk
Report Podcast Report Podcast (7.0Mb)
BMJ interview with Mr Ian Martin, NCEPOD Clinical Co-ordinator discussing the findings made in the report.
Download Questionnaires Study Questionnaires (3 Qs.)
Below are a list of questionnaires used in the study available for download. Click each to download as a pdf file.
Clinical Questionnaire
Anaesthetic Questionnaire
Organisational Questionnaire
Assessment Form (Draft only)
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