Table 1.
American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Geriatric Surgery Pilot Project Variables
| Variable Name | Intent of Variable (options) |
|---|---|
| PREOPERATIVE | |
| Origin Status | Capture living location and support on admission (lives alone at home/lives at home with support/not from home) |
| Fall History | Identify fall history 1-year prior to surgery (yes/no) |
| Use of Mobility Aid | Understand baseline mobility and patients' need for aid (yes/no) |
| History of Dementia or Cognitive Impairment | Presence of cognitive impairment (yes/no) |
| Surrogate-Signed Consent | Presence of significant cognitive impairment (yes/no) |
| Evidence of Advance Care Planning* | Presence of documented healthcare proxy, living will, advance directives, or Do Not Resuscitate (DNR) status (yes/no) |
| Palliative Care on Admission | Identify patients receiving palliative or hospice care on admission (yes/no) |
| POSTOPERATIVE | |
| Postoperative Delirium | Presence of any episodes of delirium (yes/no) |
| New/Worsening Pressure Ulcer* | New incidence or worsening of existing pressure ulcer during hospitalization (yes/no) |
| DNR Order During Hospitalization | New DNR status during hospitalization (yes/no) |
| Setting of DNR Order | Setting in which DNR order was placed (intensive care unit/acute care bed/emergency department/other or unknown) |
| Palliative Care Consult | Palliative care consult or comfort care orders during hospitalization (yes/no) |
| New Postoperative Use of Mobility Aid | New use of mobility at discharge (yes/no) |
| Social or Spiritual Support at Time of Death* | Documentation of social work or spiritual support offered to family/caregiver around patient's time of death (yes/no) |
| Discharge Destination* | To what location is a patient discharged (home/skilled care not home/unskilled facility not home/facility which was home/rehab/multi-level senior community/hospice/Against Medical Advice (AMA)/expired, unknown) |
| Discharge to Home with/without Services | Capture care needs at home on discharge (home alone with self-care/home alone with skilled care/home with support and self-care/home with support and skilled care) |
| Fall Risk on Discharge | Define fall risk at time of discharge (high/low) |
| Functional Status on Discharge | Ability to perform Activities of Daily Living (ADLs) (independent/partially dependent/totally dependent) |
| 30-DAY POSTOPERATIVE | |
| 30-Day Living Location* | Living location 30-days postoperatively (skilled care facility not home/unskilled facility not home/facility which was home/home/still in hospital/separate acute care/expired/unknown) |
| 30-Day Functional Health Status* | Ability to perform ADLs 30-days postoperatively (independent/partially dependent/totally dependent) |
| 30-Day Perceptions of Physical Function* | Determine change in patients' perceived physical function 30-days postoperative compared to preoperative baseline (diminished/similar/improved/expired/unknown) |
⁎
New Geriatric Surgery Pilot Project variables added over the course of the pilot.