Perioperative Outcome in Geriatric Patients

Perioperative Outcome in Geriatric Patients Purpose of Review Increasing number of very old patients (> 80 year old) are presenting for invasive procedures and surgeries. This review addresses perioperative outcomes after cardiac and non-cardiac surgery, in octogenarians and older patients. Recent Findings The overall rates of major upper abdominal cancer resections in octogenarians are increasing over time. Postoperative mortality, postoperative admission to the intensive care unit, and discharge to non-home disposition, after emer- gency general surgery, were strongly associated with age greater than 80 years. Though acceptable, perioperative morbidity and mortality tends to increase non-linearly after the age of 75 years in patients undergoing cardiac operations. Summary Clinician-centric outcomes continue to dominate outcome reporting. Octogenarians have higher risk of mortality and increased rates of complications, both after cardiac and non-cardiac surgeries. Perioperative care is more resource intensive in the elderly. It is important to keep these factors in mind when contemplating interventions in very elderly individuals. . . . . . . Keywords Aged Hospital mortality Octogenarians Colorectal Abdominal aortic aneurysm Coronary artery bypass Postoperative complications Perioperative care Introduction before their death [7]. Increasing number of very old patients (> 80 year old) are presenting for ever increasing complex The US Census Bureau estimates http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Anesthesiology Reports Springer Journals

Perioperative Outcome in Geriatric Patients

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Publisher
Springer US
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Anesthesiology; Intensive / Critical Care Medicine; Internal Medicine
eISSN
2167-6275
D.O.I.
10.1007/s40140-018-0267-4
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review Increasing number of very old patients (> 80 year old) are presenting for invasive procedures and surgeries. This review addresses perioperative outcomes after cardiac and non-cardiac surgery, in octogenarians and older patients. Recent Findings The overall rates of major upper abdominal cancer resections in octogenarians are increasing over time. Postoperative mortality, postoperative admission to the intensive care unit, and discharge to non-home disposition, after emer- gency general surgery, were strongly associated with age greater than 80 years. Though acceptable, perioperative morbidity and mortality tends to increase non-linearly after the age of 75 years in patients undergoing cardiac operations. Summary Clinician-centric outcomes continue to dominate outcome reporting. Octogenarians have higher risk of mortality and increased rates of complications, both after cardiac and non-cardiac surgeries. Perioperative care is more resource intensive in the elderly. It is important to keep these factors in mind when contemplating interventions in very elderly individuals. . . . . . . Keywords Aged Hospital mortality Octogenarians Colorectal Abdominal aortic aneurysm Coronary artery bypass Postoperative complications Perioperative care Introduction before their death [7]. Increasing number of very old patients (> 80 year old) are presenting for ever increasing complex The US Census Bureau estimates

Journal

Current Anesthesiology ReportsSpringer Journals

Published: Apr 10, 2018

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