Elder-friendly Approaches To The Surgical Environment
Bibliographic record
Abstract
Current hospital procedures are based around cautious exercise prescriptions, especially in the frail elderly population. While activity restrictions are placed for patient safety, there is currently no consensus on the level of restriction necessary or what activities should be restricted in the frail surgical patient. Exercise is a key component to a healthy lifestyle and is recognized in its role in managing symptoms and reducing the functional decline in aging. Therefore, it should be administered as a component of the treatment plan in order to reduce the muscular atrophy that occurs upon the stress of surgery and hospitalization in the elderly. PURPOSE: To compare the functional status of elderly abdominal surgery patients post surgery and to determine how a regularly performed reconditioning program will affect the functional decline associated with bed rest. METHODS: 30 patients over the age of 65 performed 30-Second Sit-To-Stands (STS) on day 2 post-operation (POD2) and immediately prior to discharge in our control group. The intervention group will receive the reconditioning program and will perform the exercises between the two STS trials. Patients are prescribed exercise programs based on frailty level upon hospital admission. RESULTS: The STS data from the control group demonstrates that only 4 of the 30 patients were able to achieve the STS score required for independent living, despite the majority of patients discharged home without support of additional medical care. Results for the intervention group are currently being analyzed. CONCLUSION: Current surgical bed rest practices may be exacerbating the functional decline in our elderly surgical patients. Patients are leaving the hospital in a reduced functional state due to long periods of inactivity following emergency abdominal surgery. A reconditioning intervention to address the deconditioning effects of bed rest following acute abdominal surgery is currently being implemented. Preliminary findings will be presented. Supported by the SCN Surgical Network Grant through Alberta Health Services as well as the PRIHS Grant through Alberta Innovates Health Solutions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.015 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".