Deterioration of Postoperative Daily Living Activities in Elderly Patients: Incidence and Associated Factors

IF 0.3 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Gerontology Pub Date : 2020-05-01 DOI:10.6890/IJGE.202005_14(2).0007

Taeko Fukuda, S. Imai, Masaya Nakadera, Shunji Shimoda, H. Horiguchi

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引用次数: 1

Abstract

Background: Postoperative functional status is a concern in elderly patients. Previously, we reported that administration of non-steroidal anti-inflammatory drugs (NSAIDs) was associated with maintenance of activities of daily living (ADL) scores in elderly patients after hip fracture surgery. The aim of the present study was to investigate whether perioperative NSAIDs administration is related to ADL scores in other age groups after a wide range of surgeries. Methods: The medical records of 368,859 patients aged ≥ 15 years who underwent surgery under general anesthesia were reviewed. Results: The ADL deterioration ratios of patients aged 70 years or older were significantly higher than those of the younger cohort. NSAIDs administration was associated with postoperative ADL maintenance in elderly patients who underwent various surgeries. However, administration of NSAIDs was not related to ADL maintenance in the younger patients. Conclusions: Postoperative ADL deterioration incidences were higher in elderly patients than in younger patients. Perioperative administration of NSAIDs was associated with postoperative ADL maintenance in various surgeries in elderly patients but not in younger patients. The mechanisms of postoperative ADL deterioration are likely different in elderly and younger patients.

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老年患者术后日常生活活动恶化:发生率及相关因素

背景:术后功能状态是老年患者关注的问题。先前，我们报道了非甾体类抗炎药(NSAIDs)的使用与髋部骨折术后老年患者日常生活活动(ADL)评分的维持有关。本研究的目的是调查围手术期非甾体抗炎药的使用是否与其他年龄组手术后的ADL评分有关。方法:回顾我院36万8859例年龄≥15岁全麻手术患者的病历资料。结果:70岁及以上患者的ADL恶化率明显高于年轻组。在接受各种手术的老年患者中，非甾体抗炎药的使用与术后ADL维持有关。然而，非甾体抗炎药的使用与年轻患者的ADL维持无关。结论:老年患者术后ADL恶化发生率高于年轻患者。在老年患者的各种手术中，围手术期给予非甾体抗炎药与术后ADL维持相关，但与年轻患者无关。老年和年轻患者术后ADL恶化的机制可能不同。

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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来源期刊

International Journal of Gerontology 医学-老年医学

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal aims to publish original research and review papers on all fields of geriatrics and gerontology, including those dealing with critical care and emergency medicine. The IJGE aims to explore and clarify the medical science and philosophy in all fields of geriatrics and gerontology, including those in the emergency and critical care medicine. The IJGE is determined not only to be a professional journal in gerontology, but also a leading source of information for the developing field of geriatric emergency and critical care medicine. It is a pioneer in Asia. Topics in the IJGE cover the advancement of diagnosis and management in urgent, serious and chronic intractable diseases in later life, preventive medicine, long-term care of disability, ethical issues in the diseased elderly and biochemistry, cell biology, endocrinology, molecular biology, pharmacology, physiology and protein chemistry involving diseases associated with age. We did not limit the territory to only critical or emergency condition inasmuch as chronic diseases are frequently brought about by inappropriate management of acute problems.