Implications of Activity of Daily Living for Clinical Care of Older Adults Undergoing Urological Surgery-A Cross-Sectional Study.

Single centre in China, so results may not apply to other hospitals or countries. Cross-sectional survey, so it cannot show that ADL scores or nursing classification caused the recorded risks or quality scores. The adjusted VTE association was not significant, so VTE risk should not be treated as clearly linked to ADL in this study. The paper describes quality of nursing classification as assessed within 1 week of admission in the methods, but later refers to assessment at discharge, so the timing is unclear. Patients who were critical, on prolonged bed rest, psychiatrically ill or unable to cooperate were excluded, so the sample may not represent the most impaired older surgical patients. No comparison group received usual care without ADL-based grading, so the incidence rates are descriptive only.

The authors declared no conflicts of interest. Funding was from the Nursing Research Project of Anhui Nursing Society and the Research Project of Suzhou Health Commission.

Do not conclude that ADL-based nursing classification reduced pressure ulcers, VTE or falls. This was a cross-sectional survey without a comparison group, and the adjusted VTE association was not significant.