Impact of geriatric syndromes on postoperative complications among elderly patients undergoing orthopedic surgery
10.3760/cma.j.cn114798-20230726-00707
- VernacularTitle:骨科老年手术患者老年综合征情况及术后并发症的影响因素分析
- Author:
Jia WANG
1
;
Ying SUN
;
Chunling WANG
;
Changxin LI
;
Hongmei LI
;
Jie LAI
;
Lixia CHU
Author Information
1. 应急总医院综合医疗科，北京100028
- Keywords:
Aged;
Comprehensive geriatric assessment;
Postoperative complications
- From:
Chinese Journal of General Practitioners
2023;22(10):1068-1072
- CountryChina
- Language:Chinese
-
Abstract:
A total of 231 patients aged>60 years who underwent orthopedic surgery in Department of Orthopedics of Emergency General Hospital from November 2019 to June 2022, were enrolled. All patients received a comprehensive geriatric assessment before surgery. The demographic characteristics, medical history of patients were collected, the geriatric syndrome, postoperative complications were analyzed. The risk factors of postoperative complications were analyzed with Logistic regression. The preoperative comprehensive geriatric assessment showed that the most common geriatric syndrome was cognitive impairment (29.9%, n=69), followed by frailty (14.3%, n=33), nutritional risk (10.4%, n=24), functional dependence (7.8%, n=18), depression and anxiety (3.9%, n=9). Postoperative complications occurred in 38 cases, including delirium in 18 cases (7.8%), respiratory infection in 15 cases (6.5%), heart failure in 9 cases (3.9%) and death in 1 case (0.4%). The Logistic regression analysis showed that anemia ( OR=5.278, 95% CI:1.237-22.518), frailty ( OR=2.865, 95% CI:1.049-7.829) and cognitive impairment ( OR=3.796, 95% CI:1.526-9.442) were independent risk factors for adverse postoperative outcomes ( P<0.05). The study indicates that incidence of preoperative geriatric syndrome in patients undergoing evaluation is common; and anemia, frailty and cognitive impairment may be related to adverse clinical outcomes in elderly patients after surgery.
