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- Title
Impact of age on perioperative complications and length of stay in patients undergoing noncardiac surgery.
- Authors
Polanczyk, Carisi A.; Marcantonio, Edward; Goldman, Lee; Rohde, Luis E.P.; Orav, John; Mangione, Carol M.; Lee, Thomas H.; Polanczyk, C A; Marcantonio, E; Goldman, L; Rohde, L E; Orav, J; Mangione, C M; Lee, T H
- Abstract
<bold>Background: </bold>Major surgical procedures are performed with increasing frequency in elderly persons, but the impact of age on resource use and outcomes is uncertain.<bold>Objective: </bold>To evaluate the influence of age on perioperative cardiac and noncardiac complications and length of stay in patients undergoing noncardiac surgery.<bold>Design: </bold>Prospective cohort study.<bold>Setting: </bold>Urban academic medical center.<bold>Patients: </bold>Consecutive sample of 4315 patients 50 years of age or older who underwent nonemergent major noncardiac procedures.<bold>Measurements: </bold>Major perioperative complications (cardiac and noncardiac), in-hospital mortality, and length of stay.<bold>Results: </bold>Major perioperative complications occurred in 4.3% (44 of 1015) of patients 59 years of age or younger, 5.7% (93 of 1646) of patients 60 to 69 years of age, 9.6% (129 of 1341) of patients 70 to 79 years of age, and 12.5% (39 of 313) of patients 80 years of age or older (P < 0.001). In-hospital mortality was significantly higher in patients 80 years of age or older than in those younger than 80 years of age (0.7% vs. 2.6%, respectively). Multivariate analyses indicated an increased odds ratio for perioperative complications or in-hospital mortality in patients 70 to 79 years of age (1.8 [95% CI, 1.2 to 2.7]) and those 80 years of age or older (OR, 2.1 [CI, 1.2 to 3.6]) compared with patients 50 to 59 years of age. Patients 80 years of age or older stayed an average of 1 day more in the hospital, after adjustment for other clinical data (P = 0.001).<bold>Conclusions: </bold>Elderly patients had a higher rate of major perioperative complications and mortality after noncardiac surgery and a longer length of stay, but even in patients 80 years of age or older, mortality was low.
- Subjects
UNITED States; AGE factors in disease; SURGICAL complications
- Publication
Annals of Internal Medicine, 2001, Vol 134, Issue 8, p637
- ISSN
0003-4819
- Publication type
journal article
- DOI
10.7326/0003-4819-134-8-200104170-00008