Tuesday, December 11, 2018 | ePaper

Age is not a risk factor for surgery complications

  • Print


Life DeskĀ  :
Among older patients, frailty and cognitive impairment before surgery are commonly associated with developing complications after surgery, but age is not, a new study suggests.
In addition to frailty, depressive symptoms and smoking were also associated with developing postoperative complications following elective surgery, according to the systematic review, published in the journal BMC Medicine.
'Older adults are a diverse group of patients whose risk of postoperative complications is not solely defined by their age, comorbidities, or the type of surgical procedure they receive.'
Recent research at St. Michael's Hospital also found that a patient's American Society of Anesthesiologists (ASA) status, which evaluates the physical health of a patient before surgery and is traditionally assessed as a risk factor for postoperative complications, was not associated with postoperative complications in older patients.
"The fact that age and ASA status were not risk factors for postoperative complications is somewhat surprising, because these are the factors a clinician would typically look at when assessing a patient's risk of developing complications after surgery," said Dr. Jennifer Watt, lead author of the study.
The review examined 44 existing studies including more than 12,000 patients 60 years and older and reporting on postoperative outcomes including complications, postoperative mortality, length of hospitalization, functional decline and whether patients were discharged home or to another hospital or long-term care facility. Due to significant differences in the design and reporting methods of the included studies, the authors were unable to report on the level of risk for specific postoperative complications, or their severity.
The study found that across all studies, 25 per cent of older patients experienced some complications following elective surgery.
"Older adults are a diverse group of patients whose risk of postoperative complications is not solely defined by their age, comorbidities or the type of surgical procedure they receive," said Dr. Watt. "This study highlights how common postoperative complications are among older adults undergoing elective surgery, and the importance of geriatric syndromes, including frailty, in identifying older adults who may be at risk."
The review did not examine why frailty was associated with negative outcomes following surgery, but the authors hypothesize that frailty and not older age was associated with postoperative complications because frailty represents a patient's biological age as opposed to their chronological age.
The authors also noted that there are proven interventions for a number of the risk factors identified in the review. Interventions aimed at improving a patient's nutrition, physical fitness and cognition have been found to improve frailty in older patients, and smoking cessation interventions before surgery have been associated with a lower risk of postoperative complications, according to the review.
"With this population, there is potential to intervene to improve outcomes following surgery by identifying and addressing risk factors before surgery, in particular with risk factors like smoking and depressive symptoms," said Dr. Watt. "These factors could be targeted in the preoperative clinic, potentially leading to better outcomes for older adults undergoing elective surgery."
Source: Eurekalert

More News For this Category

The mind is flat

The mind is flat

Nick Chater Ph.D. :We know characters in fiction as well as we know many, and perhaps most, of the people around us. Yet fictional characters are often sketched remarkably

Free eye camps in city, Raipur

Free eye camps in city, Raipur

Life Desk :Two free eye camps for the underprivileged people were held at New Castle International School premises in Jatrabari in the city and at Raipur Union Parishad Bhavan,

Women in agricultural sector

Women in agricultural sector

Md. Sazedul Islam :Agriculture is the lifeline of the economy of Bangladesh and the single largest sector contributing more than 16% to national GDP. According to Agriculture Information Service,

Why marriages fail

Why marriages fail

Harriet Lerner Ph.D. :With marriage having a fifty percent no-go rate it's obvious that people don't follow their best thinking, just like people don't eat healthfully even when they

Poverty elimination through women empowerment

Poverty elimination through women empowerment

Reza Mahmud :Widows have overcome adversaries with the small donation taken from a NGO in the Lalmonirhat district's Aditmari upazila. Some of them built poultry and cows fattening farms

Managing emotions for good health

Managing emotions for good health

Dr. Forqan Uddin Ahmed :Feeling, fear, emotion are human instincts. All men are devien with such instincts. Feeling arises from brain and it transmits through the process of transformation,

When is it emotional abuse?

When is it emotional abuse?

Andrea Mathews LPC, NCC :We hear the term emotional abuse tossed about quite a bit these days. So, lest we make it a dumping ground for every negative emotional

Self-development workshop for underprivileged women in city

Self-development workshop for underprivileged women in city

Rabiul Alam :Oxfam Bangladesh and Dustha Shasthya Kendra (DSK) jointly hosted a workshop titled "Network meeting with local government and women Development related organizations" under the project "Empowering Women

Free eye camps in city, Raipur

Free eye camps in city, Raipur

Life Desk :Two free eye camps for the underprivileged people were held at New Castle International School premises in Jatrabari in the city and at Raipur Union Parishad Bhavan,

Maternal exposure of asthma in babies

Maternal exposure of asthma in babies

Life Desk :Babies born to mothers who got exposed to pollen during the last trimester may be at increased risk of developing respiratory diseases such as asthma, says a