2 research outputs found
Perceptions and practices surrounding the perioperative management of frail emergency surgery patients: a WSES-endorsed cross-sectional qualitative survey
No full textBACKGROUND: Frailty is associated with poor post-operative outcomes in emergency surgical patients. Shared multidisciplinary models have been developed to provide a holistic, reactive model of care to improve outcomes for older people living with frailty. We aimed to describe current perioperative practices, and surgeons’ awareness and perception of perioperative frailty management, and barriers to its implementation. METHODS: A qualitative cross-sectional survey was sent via the World Society of Emergency Surgery e-letter to their members. Responses were analysed using descriptive statistics and reported by themes: risk scoring systems, frailty awareness and assessment and barriers to implementation. RESULT: Of 168/1000 respondents, 38% were aware of the terms “Perioperative medicine for older people undergoing surgery” (POPS) and Comprehensive Geriatric Assessment (CGA). 66.6% of respondents assessed perioperative risk, with 45.2% using the American Society of Anaesthesiologists Physical Status Classification System (ASA-PS). 77.8% of respondents mostly agreed or agreed with the statement that they routinely conducted medical comorbidity management, and pain and falls risk assessment during emergency surgical admissions. Although 98.2% of respondents agreed that frailty was important, only 2.4% performed CGA and 1.2% used a specific frailty screening tool. Clinical frailty score was the most commonly used tool by those who did. Screening was usually conducted by surgical trainees. Key barriers included a lack of knowledge about frailty assessment, a lack of clarity on who should be responsible for frailty screening, and a lack of trained staff. CONCLUSIONS: Our study highlights the ubiquitous lack of awareness regarding frailty assessment and the POPS model of care. More training and clear guidelines on frailty scoring, alongside support by multidisciplinary teams, may reduce the burden on surgical trainees, potentially improving rates of appropriate frailty assessment and management of the frailty syndrome in emergency surgical patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13017-022-00471-7
Explaining and forecasting inflation in Tukey
No full textThe growing adoption of an inflation targeting framework in emerging market economies has increased the importance of understanding inflation dynamics and forecasting its future path in these countries. The author considers the case of Turkey and investigates the performance of models that have some theoretical foundations. To this end, his study focuses on mark-up models, monetary models, and the Phillips curve. The findings suggest that the mark-up models have the best in-sample performance followed by money gap models and the Phillips curve. The empirical results from out-of-sample forecasting performance for the period covering the new economic program (May 2001-December 2002), however, show that the Phillips curve and the money gap models perform better than mark-up models. These findings, in turn, imply that (1) Phillips curves augmented with the exchange rate and money models might provide complementary views in the Turkish context; and (2) the relative importance of output gap and monetary disequilibrium in the inflation process has increased under the floating exchange rate regime. The results underscore the importance of relying on multiple models of inflation in the conduct of Turkish monetary policy.Environmental Economics&Policies,Economic Theory&Research,Markets and Market Access,Payment Systems&Infrastructure,Settlement of Investment Disputes,Economic Theory&Research,Environmental Economics&Policies,Access to Markets,Markets and Market Access,Economic Stabilization
