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Centre for Policy on Ageing | |
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| Predicting adverse postoperative outcomes in patients aged 80 years or older | | Author(s) | Linda L Liu, Jacqueline M Leung |
| Journal title | Journal of the American Geriatrics Society, vol 48, no 4, April 2000 |
| Pages | pp 405-412 |
| Keywords | Octogenarians ; Surgery ; At risk ; Ill health ; Death rate [statistics] ; United States of America. |
| Annotation | The identification of reversible factors associated with post-operative morbidity in geriatric surgical patients is critical to improving their perioperative outcomes. This study aimed to compare the relative importance of intra-operative versus pre-operative factors in predicting adverse perioperative outcomes in geriatric patients. 367 patients aged 80 and over undergoing non-cardiac surgery in 1995 in San Francisco were studied retrospectively. The most prevalent pre-operative risk factors were a history of hypertension, and coronary artery, pulmonary and neurologic diseases. Post-operative in-hospital mortality rate was 4.6%, and 25% of patients developed adverse post-operative outcomes, of which neurological and cardiovascular complications were the leading cause of morbidity. By multivariate logistic regression, a history of neurological disease, congestive heart failure, and a history of arrhythmia increased the odds of adverse post-operative events. The only intra-operative event shown to be predictive of post-operative complications was the use of vasoactive agents. Intra-operative events appeared to be less important than pre-operative comorbidities in predicting adverse post-operative outcomes. (RH). |
| Accession Number | CPA-000824207 A |
| Classmark | BBM: LKA: CA3: CH: S5: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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