Home Today's Paper Most Popular Video Gallery Photo Gallery
Subscription Blog Signin Register
Logo
Friday, May 25, 2018 12:49:34 PM
Follow Us On: Facebook Twitter Twitter Twitter Twitter

Age is not a risk factor for surgery complications

photo by

By
25th-Jan-2018       
Comments
Share your thought
Post a comment »
Read all () »

Life Desk  :
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

Tariff
Add Rate

News Archive

Inside The New Nation

Editorial »

Hasina`s India visit and getting water from Teesta


INDIA has kept talks on sharing of water of common rivers with Bangladesh stalled for over eight years holding back the signing of interim agreements on Teesta and Feni Rivers and making negotiations on five more rivers uncertain. India has been declining since 2010 to hold a water resources ministers-level ...

Entertainment »

Being an outsider, Kriti Sanon makes a mark in the industry


Being an outsider from Delhi, Kriti Sanon has carved a niche for herself in the industry in just a few years. As Heropanti celebrates its four year anniversary today, Kriti Sanon who ventured into B-town with the Sajid Nadiadwala film clocks four years in Bollywood. Over the years, Kriti Sanon ...

Entertainment »

Mithila`s two new TVCs Sheikh Arif Bulbon


Popular model and TV actress Mithila has performed as a model in two new TV commercials. She has also taken part in photo session of fashion designer Nazia Hasan Aditi’s boutique house, Adriana’s some wears. During Eid fashion lovers will get to buy wears of Adriana those were dressed by ...

Cricket »

Taskin likely to miss Windies Series


Sports Reporter :Pacer Taskin Ahmed is likely to miss the upcoming West Indies Series. Taskin has been suffering from shoulder injury for a long time. But he has maintained his running and gym-session. He has also taken part in the bowling and fielding practice. But He cannot recovery from injury. ...

Football »

Brazil's Flamengo Leo Duarte (right) fights for the ball with Argentina's River Plate Ignacio Scocco during a Copa Libertadores soccer match in Buenos Aires, Argentina on Wednesday.


Football »

Roberto Chacon of Venezuela's Monagas (left) fights for the ball with Striker Diego Churin of Paraguay's Cerro Portenoduring a Copa Libertadores soccer match in Asuncion, Paraguay on Wednesday.


City »

President Abdul Hamid joined an Iftar Mahfil hosted by Chief Justice Syed Mahmud Hossain on the Supreme Court premises and exchanging pleasantries on Thursday.


International »

Hariri on track to become PM for third time


Reuters, Beirut :Lebanon's Saad al-Hariri is on track to become prime minister for a third time after winning the backing of a majority of MPs in official consultations on Thursday, and is expected to launch negotiations on a coalition government.The post of prime minister is reserved for a Sunni Muslim ...

Editorial »

About Rohingya children`s bleak future


FOLLOWING numerable foreign dignitaries, ministers, bureaucrats, Nobel laureates and the Pope -  a Bollywood celebrity  visited the Rohingya camps  commenting that the future of Rohingya children is deeply uncertain. The Indian actress and UNICEF Goodwill Ambassador Priyanka Chopra said Rohingya children can have a chance in the future only with ...

Football »

Diego Gonzalez of Argentina`s Racing Club (left) fights for the ball with Lucas Romero of Brazil's Cruzeiro during a Copa Libertadores soccer match in Belo Horizonte, Brazil on Tuesday.


Cricket »

South Africa's AB de Villiers retires from international cricket


South Africa's star batsman AB de Villiers on Wednesday announced he was retiring from all international cricket after a 14-year career. "I have decided to retire from all international cricket with immediate effect," he said in a statement. "After 114 Test matches, 228 ODI's and 78 T20 Internationals, it is ...

City »

Principal Golum Mahmudunnabi Dollar speaking at a press conference at the Jatiya Press Club on Wednesday demanding implementation of Prime Minister Sheikh Hasina's assurance for MPOs of the institutions in the upcoming national budget 2018-19.


Entertainment »

Amyra Dastur joins Kangana, Rajkummar for Mental Hai Kya


The young actress Amyra Dastur after making her impact in the south film industry is set to impress Bollywood with the announcement of multiple projects this year. Amyra received rave reviews for her performance in Kaalakandi early this year with Saif Ali Khan is now seems to have an interesting ...

Entertainment »

Tazin buried at her father`s grave


Entertainment Report :Popular TV actress and host Tazin Ahmed was buried in the city’s Banani graveyard on Wednesday afternoon. She was laid to rest at her father’s grave at about 2:50pm following a namaz-e-janaza at Gulshan Azad Mosque after Zohr prayers.  Tazin died of cardiac arrest at Regent Hospital in ...

International »

Speculation mounts over US push for Iran regime change


AFP, Washington :Speculation is swirling over the prospect of US willingness to push regime change in Tehran, as US officials including Washington's top diplomat urge Iranians to "choose for themselves" their government."The Iranian people get to choose for themselves the kind of leadership they want," Secretary of State Mike Pompeo ...

 
Items that you save may be read at any time on your computer, iPad, iPhone or Android devices.
 
Are you new to our website? Do you have already an account at our website?
Create An Account Log in here
Email this news to a friend or like someone
Email:
Write a comment to this news