Resumen

Background: Aging has increased the surgical need for elders. We still lack evidence about prognostic factors in geriatric surgical patients. Objective:The objective of this study is to associate pre-operative variables with post-operative morbimortality. Methods: A observational, descriptive, cross-sectional study included patients 65 years and older who underwent non-cardiac surgery. We measured baseline characteristics, type of surgery, comorbidity, vasoactive medications, prescription drugs, laboratory results, and geriatric syndromes. Statistical analysis: We used SPSS-20.0. Quantitative variables were analyzed by T-student, qualitative by Chi-square. Results: Between July 2013 and June 2014, we included 120 patients 65 years and older who underwent non-cardiac surgery. The mean age was 78.5 years. 47.5% procedures were scheduled. Acute kidney injury, depression, falls, sore ulcers, and fecal incontinence were associated with poor prognosis. The main post-operative complication was delirium. Conclusions: Elder surgical patients are complex. Some conditions may be compensated as part of pre-operative evaluation to improve outcomes. Age by itself it is not related to a poor prognosis.

Palabras clave: Aged surgery pre-operative care.

2018-05-23   |   347 visitas   |   3 valoraciones

Vol. 4 Núm.1. Enero-Junio 2018 Pags. 3-7 J Lat Am Geriatric Med 2018; 4(1)