Conclusion Geriatric syndromes are important prognostic factors for postoperative complications .
Background Elective surgeries can be associated with significant harm to older adults .
The present study aim ed to identify the prognostic factors associated with the development of postoperative complications among older adults undergoing elective surgery .
An Evaluation of a Proactive Geriatric Trauma Consultation Service
Objective : To describe and evaluate an  inpatient geriatric trauma consultation service ( GTCS ) . Background : Delays in recognizing the special needs of older trauma patients may result in suboptimal care . The GTCS is a proactive geriatric consultation model aim ed at preventing and managing age-specific complications and discharge planning for all patients 60 years or older admitted to the St Michael 's Hospital Trauma Service . Methods : This was a before and after case series of patients admitted pre-GTCS ( March 2005–August 2007 ) and post-GTCS ( September 2007–March 2010 ) . Study data were derived from a review of the medical records and from the St Michael 's Hospital trauma registry . Abstract ed data included demographics , type of geriatric issues addressed , rate of adherence to recommendations made by the GTCS , geriatric-specific clinical outcomes , trauma quality indicators , consultation requests , and discharge destinations . Results : A total of 238 pre-GTCS patients and 248 post-GTCS patients were identified . The rate of adherence to recommendations made by the GTCS team was 93.2 % . There were fewer consultation requests made to Internal Medicine and Psychiatry in the post-GTCS group ( N = 31 vs N = 18 , P = 0.04 ; and N = 33 vs N = 18 , P = 0.02 ; respectively ) . There were no differences in any of the prespecified complications except delirium ( 50.5 % pre-GTCS vs 40.9 % post- GTCS , P = 0.05 ) . Among patients admitted from home , fewer were discharged to long-term care facilities among the post-GTCS group ( 6.5 % pre-GTCS vs 1.7 % post-GTCS , P = 0.03 ) . Conclusions : A proactive geriatric consultation model for elderly trauma patients may decrease delirium and discharges to long-term care facilities . Future studies should include a multicenter r and omized trial of this model of care
Conclusion Geriatric syndromes are important prognostic factors for postoperative complications .
Background Elective surgeries can be associated with significant harm to older adults .
The present study aim ed to identify the prognostic factors associated with the development of postoperative complications among older adults undergoing elective surgery .