Publications by authors named "Selvaganapathi Natesan"
Recovery of surgery in the elderly (ROSE) program: The efficacy of a multi-modal prehabilitation program implemented in frail and pre-frail elderly undergoing major abdominal surgery.
World J Surg
January 2024
Background: Major abdominal surgery is associated with a high rate of post-operative complications with increased risk of adverse surgical outcomes due to the presence of frailty. This study aims to evaluate the effectiveness of the multimodal Recovery of Surgery in the Elderly (ROSE) prehabilitation program with supervised exercise in mitigating postoperative functional decline when compared to standard care.
Method: The ROSE program enrolled ambulant patients who were 65 years and above, had a Clinical Frailty Scale score of 4 or more and were planned for major abdominal surgery.
Effectiveness of Comanagement Model: Geriatric Medicine and Vascular Surgery.
J Am Med Dir Assoc
April 2022
Objectives: Older surgical patients frequently develop postoperative complications due to their frailty and multiple comorbidities. Geriatric medicine consultation helps to optimize risk factors and improve outcomes in patients with hip fracture. This study aimed to evaluate patient outcomes before and after comanagement model implementation between geriatric medicine (Geriatric Surgical Service) and vascular surgery services.
View Article and Find Full Text PDFArticle Synopsis
- Vitamin D deficiency is prevalent in older adults with hip fractures in Singapore, with 57.5% of patients showing low levels, and only 8% having normal levels.
- Factors such as being housebound and ethnicity, particularly among the Malay population, contribute to the risk of deficiency.
- The study suggests limited sunlight exposure due to clothing habits may further heighten the risk of vitamin D deficiency in this group.