scholarly journals Current smoking predicts increased operative mortality and morbidity after cardiac surgery in the elderly☆

2011 ◽  
Vol 12 (3) ◽  
pp. 449-453 ◽  
Author(s):  
Rhys Jones ◽  
Brian Nyawo ◽  
Sheila Jamieson ◽  
Stephen Clark
Keyword(s):  
Cardiac Surgery ◽  
Operative Mortality ◽  
The Elderly ◽  
Current Smoking ◽  
Mortality And Morbidity ◽  
Surgery In The Elderly

scholarly journals Cardiac surgery in the elderly: What goals of care?

2017 ◽  
Vol 87 (2) ◽  
Author(s):  
Alessandra Pratesi ◽  
Francesco Orso ◽  
Camilla Ghiara ◽  
Aldo Lo Forte ◽  
Anna Chiara Baroncini ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
The Elderly ◽  
Risk Scores ◽  
Frailty Phenotype ◽  
Mortality And Morbidity ◽  
Geriatric Cardiology ◽  
Patient Reported ◽  
Short Term Mortality ◽  
Surgery In The Elderly

<p>At present, the majority of cardiac surgery interventions have been performed in the elderly with successful short-term mortality and morbidity, however significant difficulties must to be underlined about our capacity to predict long-term outcomes such as disability, worsening quality of life and loss of functional capacity.<br />The reason probably resides on inability to capture preoperative frailty phenotype with current cardiac surgery risk scores and consequently we are unable to outline the postoperative trajectory of an important patients’ centered outcome such as disability free survival. In this perspective, more than one geriatric statements have stressed the systematic underuse of patient reported outcomes in cardiovascular trials even after taking account of their relevance to older feel and wishes. Thus, in the next future is mandatory for geriatric cardiology community closes this gap of evidences through planning of trials in which patients’ centered outcomes are considered as primary goals of therapies as well as cardiovascular ones.</p>

Head and neck surgery in the elderly: a maturing problem

1989 ◽  
Vol 103 (3) ◽  
pp. 306-309 ◽  
Author(s):  
M. Harries ◽  
V. J. Lund
Keyword(s):  
Head And Neck ◽  
Operative Mortality ◽  
The Elderly ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Aggressive Approach ◽  
Mortality And Morbidity ◽  
Cancer Management ◽  
Relative Risks ◽  
Surgery In The Elderly

AbstractThe number of elderly patients requiring oncologic head and neck surgery is increasing as this proportion of the population continues to grow. To establish the specific problems and relative risks, 100 patients, 70 years of age and over have been examined to determine post-operative mortality and morbidity. Results do not show these to be significantly increased in the elderly and support an aggressive approach to head and neck cancer management in these patients.

Cardiac Surgery in the Elderly: The Critical Care Phase

1992 ◽  
Vol 3 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Carolyn S. Brown
Keyword(s):  
Critical Care ◽  
Cardiac Surgery ◽  
Postoperative Complications ◽  
Artery Bypass ◽  
The Elderly ◽  
Recovery Phase ◽  
Nursing Interventions ◽  
Mortality And Morbidity ◽  
Surgery In The Elderly ◽  
Morbidity Risks

A growing number of elderly patients (aged 70 years and older) are seen in critical care units after valve surgery or coronary artery bypass grafting. While studies show that the elderly demonstrate overall successful results after cardiac surgery, the mortality and morbidity risks are higher than in younger adults. The elderly patient is more likely to experience postoperative complications, prolonging the recovery phase. Commonly reported postoperative complications include dysrhythmias, pneumonia, cerebral vascular accidents, and infection. Elderly surgical candidates must be evaluated preoperatively to determine risk factors that may affect the critical care recovery phase. The length of stay tends to be longer in the intensive care unit, requiring nursing care that takes the aging process into consideration. The following article focuses on trends in cardiac surgery in the elderly, physiologic factors that affect outcome and recovery, and nursing interventions aimed at preventing or limiting postoperative complications

scholarly journals Outcome of Colonic Surgery in Elderly Patients with Colon Cancer

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
E. Hermans ◽  
P. M. van Schaik ◽  
H. A. Prins ◽  
M. F. Ernst ◽  
P. J. L. Dautzenberg ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Elderly Patients ◽  
Operative Mortality ◽  
Survival Rates ◽  
The Elderly ◽  
Colonic Surgery ◽  
Cardiovascular Pathology ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Surgery In The Elderly

Introduction. Colonic cancer is one of the most commonly diagnosed malignancies and most often occurs in patients aged 65 years or older.Aim. To evaluate the outcome of colonic surgery in the elderly in our hospital and to compare five-year survival rates between the younger and elderly patients.Methods. 207 consecutive patients underwent surgery for colon cancer. Patients were separated in patients younger than 75 and older than 75 years.Results. Elderly patients presented significantly more (P<.05) as a surgical emergency, had a longer duration of admission and were more often admitted to the ICU (P<.01). Also, elderly patients had significant more co-morbidities, especially cardiovascular pathology (P<.01). Post-operative complications were seen more often in the elderly, although no significant difference was seen in anastomotic leakage. The five-year survival rate in the younger group was 62% compared with 36% in the elderly (P<.05). DFS was 61% in the younger patients compared with 32% in the elderly (P<.05).Conclusion. Curative resection of colonic carcinoma in the elderly is well tolerated and age alone should not be an indication for less aggressive therapy. However, the type and number of co-morbidities influence post-operative mortality and morbidity.

Can we predict the occurence of postoperative delirium after cardiac surgery in the elderly by a clinical and frailty assessment?

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
J Freibrodt ◽  
M Hüppe ◽  
B Sedemund-Adib ◽  
HH Sievers ◽  
C Schmidtke
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Delirium ◽  
The Elderly ◽  
Frailty Assessment ◽  
Surgery In The Elderly

scholarly journals Cardiac surgery in the elderly: Analysis of outcome in patients with mitral regurgitation

1996 ◽  
Vol 27 (2) ◽  
pp. 281 ◽  
Author(s):  
Maurice E. Sarano ◽  
Robert L. Frye ◽  
Hartzell V. Schaff ◽  
Thomas A. Orszulak ◽  
A.Jamil Tajik
Keyword(s):  
Cardiac Surgery ◽  
Mitral Regurgitation ◽  
The Elderly ◽  
Surgery In The Elderly

Cardiac Surgery in the Elderly

2001 ◽  
pp. 460-470
Author(s):  
Margarita T. Camacho ◽  
Konstadinos A. Plestis ◽  
Jeffrey P. Gold
Keyword(s):  
Cardiac Surgery ◽  
The Elderly ◽  
Surgery In The Elderly

Cardiac Surgery in the Elderly

2011 ◽  
pp. 649-660
Author(s):  
Margarita T. Camacho ◽  
Pooja R. Raval
Keyword(s):  
Cardiac Surgery ◽  
The Elderly ◽  
Surgery In The Elderly

Anaesthesia for major abdominal surgery in the elderly

2017 ◽  
Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin
Keyword(s):  
Abdominal Surgery ◽  
The Elderly ◽  
Major Abdominal Surgery ◽  
Bowel Distension ◽  
Mortality And Morbidity ◽  
Risk Of Mortality ◽  
Surgery In The Elderly ◽  
Fluid Losses ◽  
Effective Analgesia ◽  
Emergency Abdominal Surgery

Major abdominal surgery and laparotomy are common procedures that are associated with a high risk of mortality and morbidity, especially in the elderly. Outcomes can be improved by formal risk stratification, appropriate perioperative resuscitation and optimization, early surgery, senior anaesthetist involvement, and careful postoperative critical. Assessment of dehydration is imperative because fluid losses are very common and may be difficult to measure. Hypothermia is common, and measures should be instituted to conserve heat loss. Use of nitrous oxide can cause bowel distension and should be avoided. Elderly patients should receive postoperative care in an environment that is appropriate to the degree of comorbidity and the type of surgery. Effective analgesia is known to improve outcome. Only experienced anaesthetists should manage major and emergency abdominal surgery.

Early Treatment With Risperidone for Subsyndromal Delirium After On-Pump Cardiac Surgery in the Elderly

2013 ◽  
Vol 57 (4) ◽  
pp. 167-168
Author(s):  
Sameh M. Hakim ◽  
Ahmed I. Othman ◽  
Dina O. Naoum
Keyword(s):  
Cardiac Surgery ◽  
Early Treatment ◽  
The Elderly ◽  
Subsyndromal Delirium ◽  
Surgery In The Elderly
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