Journal of Advances in Clinical Nursing

Objective The purpose of this study was to evaluate the application value of Comprehensive Geriatric Assessment (CGA) in risk warning of elderly patients with biliary tract diseases. Methods 150 patients with biliary tract diseases aged 70 years and above admitted to our hospital from January 2023 to December 2023 were included in this study. CGA was used to evaluate the physiological function, nutritional status, mental health and social support. Based on the evaluation results, patients were divided into a low risk group and a high risk group, with 75 patients in each group. For patients with different risk levels, the nursing team developed a personalized care plan, focusing on nutritional support, psychological care, functional recovery and postoperative rehabilitation management. Standardized scales (MBI, NRS-2002, GDS, SSRS) were used at admission, after surgery, and before and after discharge. Results The evaluation results showed that there were significant differences between the two groups in nursing satisfaction, nursing compliance, nutritional improvement rate, postoperative rehabilitation plan completion rate and psychological state improvement rate, and the low-risk group was superior to the high-risk group in all indexes (P<0.05). Conclusion Comprehensive geriatric assessment (CGA) has significant effect on perioperative risk warning in elderly patients with biliary tract diseases. CGA uses careful assessment of patients health status and nutritional status to help initially identify risk groups, reduce the incidence of complications during and after surgery and improve treatment results.

Comprehensive geriatric assessment (CGA); Biliary tract disease; Risk early warning; Perioperative complications