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Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians

INTRODUCTION: With a rapidly ageing population in Singapore, we see an increasing number of elderly patients undergoing surgery, both elective and emergency. This study aims to look at the anaesthesia techniques employed in a subset of very elderly population undergoing surgery and their subsequent...

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Autores principales: Lee, Si Jia, Ng, Oriana, Thong, Sze Ying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149437/
https://www.ncbi.nlm.nih.gov/pubmed/32292478
http://dx.doi.org/10.1155/2020/4562528
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author Lee, Si Jia
Ng, Oriana
Thong, Sze Ying
author_facet Lee, Si Jia
Ng, Oriana
Thong, Sze Ying
author_sort Lee, Si Jia
collection PubMed
description INTRODUCTION: With a rapidly ageing population in Singapore, we see an increasing number of elderly patients undergoing surgery, both elective and emergency. This study aims to look at the anaesthesia techniques employed in a subset of very elderly population undergoing surgery and their subsequent postoperative outcomes, in particular their 30-day mortality, postoperative complication rates, and length of hospital stays. MATERIALS AND METHODS: We searched from our hospital records between 2012 and 2013 for patients equal to or older than 90 years old who have undergone surgery and retrospectively analysed the types of surgery and mode of anaesthesia used. RESULTS: Sixty-two patients were identified. The mean age is 93.6 years. Majority were ASA 2 and ASA 3 patients. The most common type of surgery performed was orthopaedic, followed by vascular and urologic. Seven of the 62 patients required re-operations. Regional was the predominant anaesthetic technique employed, followed by general anaesthesia. Intraoperative hypotension was seen in 16 of the patients, all of whom recovered uneventfully. Hypothermia, desaturation, and hypertension were the top three complications observed in the recovery. Seventeen patients were admitted to a high-dependency facility postoperatively. The mean length of stay was 13.7 days. The 30-day mortality was 1.6 percent. CONCLUSIONS: We have provided a snapshot of very elderly patients coming for surgery. The results show that this group of elderly patients do well postoperatively with relatively low complication and 30-day mortality rates. The outcomes presented can be used as a guide for risk counseling in the perioperative period.
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spelling pubmed-71494372020-04-14 Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians Lee, Si Jia Ng, Oriana Thong, Sze Ying Anesthesiol Res Pract Research Article INTRODUCTION: With a rapidly ageing population in Singapore, we see an increasing number of elderly patients undergoing surgery, both elective and emergency. This study aims to look at the anaesthesia techniques employed in a subset of very elderly population undergoing surgery and their subsequent postoperative outcomes, in particular their 30-day mortality, postoperative complication rates, and length of hospital stays. MATERIALS AND METHODS: We searched from our hospital records between 2012 and 2013 for patients equal to or older than 90 years old who have undergone surgery and retrospectively analysed the types of surgery and mode of anaesthesia used. RESULTS: Sixty-two patients were identified. The mean age is 93.6 years. Majority were ASA 2 and ASA 3 patients. The most common type of surgery performed was orthopaedic, followed by vascular and urologic. Seven of the 62 patients required re-operations. Regional was the predominant anaesthetic technique employed, followed by general anaesthesia. Intraoperative hypotension was seen in 16 of the patients, all of whom recovered uneventfully. Hypothermia, desaturation, and hypertension were the top three complications observed in the recovery. Seventeen patients were admitted to a high-dependency facility postoperatively. The mean length of stay was 13.7 days. The 30-day mortality was 1.6 percent. CONCLUSIONS: We have provided a snapshot of very elderly patients coming for surgery. The results show that this group of elderly patients do well postoperatively with relatively low complication and 30-day mortality rates. The outcomes presented can be used as a guide for risk counseling in the perioperative period. Hindawi 2020-03-30 /pmc/articles/PMC7149437/ /pubmed/32292478 http://dx.doi.org/10.1155/2020/4562528 Text en Copyright © 2020 Si Jia Lee et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lee, Si Jia
Ng, Oriana
Thong, Sze Ying
Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians
title Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians
title_full Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians
title_fullStr Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians
title_full_unstemmed Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians
title_short Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians
title_sort outcomes of the extreme elderly undergoing anaesthesia and surgery amongst southeast asians
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149437/
https://www.ncbi.nlm.nih.gov/pubmed/32292478
http://dx.doi.org/10.1155/2020/4562528
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