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  1. Article ; Online: Evaluating simulator sickness and acceptability of virtual reality prototype in pain management in hospitalized patients.

    Li, Lydia Weiling / Beng, Michael Hock / Singh, Prit Anand / Koo, Seok Hwee / Sng, Ban Leong

    Pain management

    2024  Volume 14, Issue 2, Page(s) 53–63

    Abstract: Aim: ...

    Abstract Aim:
    MeSH term(s) Humans ; Pain Management/methods ; Analgesics, Opioid ; Chronic Pain/therapy ; Anxiety/therapy ; Virtual Reality
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2024-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2617136-3
    ISSN 1758-1877 ; 1758-1869
    ISSN (online) 1758-1877
    ISSN 1758-1869
    DOI 10.2217/pmt-2023-0072
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Assessment of predictive validity and feasibility of Edmonton Frail Scale in identifying postoperative complications among elderly patients: a prospective observational study.

    He, Yingke / Li, Lydia Weiling / Hao, Ying / Sim, Eileen Yilin / Ng, Kai Lee / Lee, Rui / Lim, Mattheaus ShengJie / Poopalalingam, Ruban / Abdullah, Hairil Rizal

    Scientific reports

    2020  Volume 10, Issue 1, Page(s) 14682

    Abstract: Frailty is defined as diminished physiological reserve predisposing one to adverse outcomes when exposed to stressors. Currently, there is no standardized Frail assessment tool used perioperatively. Edmonton Frail Scale (EFS), which is validated for use ... ...

    Abstract Frailty is defined as diminished physiological reserve predisposing one to adverse outcomes when exposed to stressors. Currently, there is no standardized Frail assessment tool used perioperatively. Edmonton Frail Scale (EFS), which is validated for use by non-geriatricians and in selected surgical populations, is a candidate for this role. However, little evaluation of its use has been carried out in the Asian populations so far. This is a prospective observational study done among patients aged 70 years and above attended Preoperative Assessment Clinic (PAC) in Singapore General Hospital prior to major abdominal surgery from December 2017 to September 2018. The Comprehensive Complication Index (CCI) and Postoperative Morbidity Survey (POMS) were used to assess their postoperative morbidity respectively. Patient's acceptability of EFS was measured using the QQ-10 questionnaire and the inter-rater reliability of EFS was assessed by Kappa statistics and Bland Altman plot. The primary aim of this study is to assess if frailty measured by EFS is predictive of postoperative complications in elderly patients undergoing elective major abdominal surgery. We also aim to assess the feasibility of implementing EFS as a standard tool in the outpatient preoperative assessment clinic setting. EFS score was found to be a significant predictor of postoperative morbidity. (OR 1.35, p < 0.001) Each point increase in EFS score was associated with a 3 point increase in CCI score. (Coefficient b 2.944, p < 0.001) EFS score more than 4 has a fair predictability of both early and 30-day postoperative complications. Feasibility study demonstrated an overall acceptance of the EFS among our patients with good inter-rater agreement.
    MeSH term(s) Abdomen/surgery ; Aged ; Aged, 80 and over ; Feasibility Studies ; Female ; Frail Elderly ; Frailty/complications ; Frailty/diagnosis ; Geriatric Assessment ; Humans ; Male ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Preoperative Care ; Prognosis ; Prospective Studies ; Risk Factors
    Language English
    Publishing date 2020-09-07
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-020-71140-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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