Risk Factors for Postoperative Complications among the Elderly after Plastic Surgery Procedures Performed under General Anesthesia.

Plastic Surgery International Pub Date : 2018-07-08 eCollection Date: 2018-01-01 DOI:10.1155/2018/7053839
Kiyoko Fukui, Masaki Fujioka, Kazumi Yamasaki, Sho Yamakawa, Haruka Matsuo, Miho Noguchi
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引用次数: 7

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.

老年人全身麻醉下整形手术术后并发症的危险因素。
背景:老年患者的手术频率越来越高。以前已经对老年人使用自由组织移植进行了研究(Howard等人,2005年,Hwang等人,2016年,Grammatica等人,2015年,Serletti等人,2000年,以及Sierakowski等人,2017年),而尚未对整形手术进行任何此类研究。我们评估了年龄≥75岁的患者在全身麻醉下进行整形手术后并发症的危险因素。方法:回顾性分析2009 ~ 2016年在长崎医疗中心国立医院整形重建外科接受全麻下整形手术的年龄≥75岁患者的病例。采用多元logistic回归分析确定术后并发症的危险因素。结果:回顾了263例病例。并发症137例。年龄不能预测并发症的发生。结论:年龄不是老年人手术的禁忌症。重要的是评估合并症并尽快进行手术以缩短手术时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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