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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1990-1-30
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pubmed:abstractText |
A prospective study was carried out on 288 general surgical patients aged 65 years and over. Over 40% of patients suffered no post-operative complication. The commonest post-operative problem was respiratory, with 17% of patients having simple atelectasis, 12% acute bronchitis and 10% pneumonia. Six per cent of patients developed post-operative heart failure and/or myocardial infarction. Delirium was noted post-operatively in 7% of patients, and new focal neurological signs in 1%. The post-operative hospital fatality rate was 5% (4% when deaths due to carcinomatosis were excluded). Nine patients out of ten spent less than a month in hospital. The relation of post-operative morbidity and mortality to seven factors was examined: type of surgery, urgency of surgery, urgency of admission, age, number of pre-operative medical diagnoses, American Society of Anesthetists' grade, and pre-operative mobility level. It appears that pre-operative medical fitness rather than chronological age is the main determinant of post-operative outcome in the elderly surgical patient.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-0729
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
316-26
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2603840-Age Factors,
pubmed-meshheading:2603840-Aged,
pubmed-meshheading:2603840-Aged, 80 and over,
pubmed-meshheading:2603840-Female,
pubmed-meshheading:2603840-Humans,
pubmed-meshheading:2603840-Male,
pubmed-meshheading:2603840-Physical Fitness,
pubmed-meshheading:2603840-Postoperative Complications,
pubmed-meshheading:2603840-Prognosis,
pubmed-meshheading:2603840-Prospective Studies,
pubmed-meshheading:2603840-Respiration Disorders,
pubmed-meshheading:2603840-Risk Factors
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pubmed:year |
1989
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pubmed:articleTitle |
A prospective study of elderly general surgical patients: II. Post-operative complications.
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pubmed:affiliation |
University Department of Geriatric Medicine, Cardiff Royal Infirmary.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|