Abstract

Background The frequency of surgery involving elderly patients has been increasing. The use of free tissue transfers in the elderly has been examined previously (Howard et al., 2005, Hwang et al., 2016, Grammatica et al., 2015, Serletti et al., 2000, and Sierakowski et al., 2017), whereas there have not been any such studies of plastic surgery procedures. We evaluated the risk factors for complications after plastic surgery procedures performed under general anesthesia in patients aged ≥75 years. Methods The cases of patients aged ≥75 years who underwent plastic surgery procedures under general anesthesia at the Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, between 2009 and 2016 were reviewed retrospectively. Multiple logistic regression analysis was used to identify the risk factors for postoperative complications. Results Two hundred and sixty-three cases were reviewed. Complications were seen in 137 patients. Age was not predictive of complications. The risk factors included a serum albumin level of <2.8 g/dl (odds ratio (OR): 2.96), an operative time of ≥120 min (OR: 6.22), and an American Society of Anesthesiologists performance status of ≥3 (OR: 2.39). Conclusions Age is not contraindication for surgery in the elderly. It is important to assess comorbidities and perform surgical procedures as soon as possible to shorten the surgical period.

Highlights

  • The populations of developed countries have been aging progressively, and Japanese society is aging especially rapidly [1]

  • The aim of this study is to evaluate the risk factors for postoperative complications after surgery performed under general anesthesia in patients aged over 75 years

  • The cases of patients aged over 75 years who underwent plastic surgery procedures under general anesthesia at the Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, between 2009 and 2016 were evaluated retrospectively

Read more

Summary

Introduction

The populations of developed countries have been aging progressively, and Japanese society is aging especially rapidly [1]. The feasibility of performing surgery in elderly patients has increased, but this has resulted in a greater frequency of postoperative complications because the functional capacity of such patients’ organs is impaired [2]. It is important to clarify the risk factors for postoperative complications in elderly patients. The risk factors for complications after plastic surgery procedures in the elderly have not been reported. The aim of this study is to evaluate the risk factors for postoperative complications after surgery performed under general anesthesia in patients aged over 75 years. We evaluated the risk factors for complications after plastic surgery procedures performed under general anesthesia in patients aged ≥75 years. The cases of patients aged ≥75 years who underwent plastic surgery procedures under general anesthesia at the Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, between 2009 and 2016 were reviewed retrospectively. It is important to assess comorbidities and perform surgical procedures as soon as possible to shorten the surgical period

Objectives
Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call