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Current Anesthesiology Reports
Published in: Current Anesthesiology Reports 2/2018

01-06-2018 | Geriatric Anesthesia (S Akhtar, Section Editor)

Perioperative Outcome in Geriatric Patients

Author: Shamsuddin Akhtar

Published in: Current Anesthesiology Reports | Issue 2/2018

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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 emergency 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.
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Metadata
Title
Perioperative Outcome in Geriatric Patients
Author
Shamsuddin Akhtar
Publication date
01-06-2018
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 2/2018
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-018-0267-4

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