Older Adults: Risk of Harm Following Elective Surgery

    Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis

    Watt J, Tricco AC, Talbot-Hamon C, Rios P, Grudniewicz A, Wong C, Sinclair D. Straus SE. Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis. BMC Med. 2018 Jan 12;16(1):2. doi: 10.1186/s12916-017-0986-2.
     
    [sidebar] Funders: Canadian Institutes of Health Research (CIHR) and Canada Research Chairs Program (CRCP)

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    • This review aims to improve clinician-patient discussions on informed consent prior to elective surgery in older adults and to help researchers and policy-makers develop interventions that effectively target modifiable risk factors for post-operative complications
    • Postoperative complications were common (1 in 4 older adults). Frailty, which is often synonymous with someone’s biological age, was associated with increased risk of postoperative complications; however, neither chronological age nor ASA status were associated this outcome. Potentially modifiable prognostic factors (e.g. frailty) should be studied further to improve patient outcomes

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    Date : 13 Aug 2020