TO STUDY THE FACTORS AFFECTING POST OPERATIVE MORBIDITY AND MORTALITY FOLLOWING SURGERY IN ELDERLY

DR BINOY KUMAR SINGH; DR KANIKA SHARMA

Volume : VIII, Issue : V, May - 2018

TO STUDY THE FACTORS AFFECTING POST OPERATIVE MORBIDITY AND MORTALITY FOLLOWING SURGERY IN ELDERLY

Dr Binoy Kumar Singh, Dr Kanika Sharma

Abstract :

As the number of Americans aged 65 years and older continues to rise, there is projected to be a corresponding increase in demand for major surgeries within this population. Consequently, it is important to utilize accurate preoperative risk stratification techniques that are applicable to elderly individuals. Currently, commonly used preoperative risk assessments are subjective and often do not account for elderly–specific syndromes that may pose a hazard for geriatric patients if not addressed. Failure to accurately risk–stratify these patients may increase the risk of postoperative complications, morbidity, and mortality. Therefore, we aimed to identify and discuss the more objective and better–validated measurements indicative of poor surgical outcomes in the elderly with special focus on frailty, patient optimization, functional status, and cognitive ability.The term ‘ageing’ is related to word ‘senescence’ although term aging commonly used to refer post maturational process that are deteriorative and lead to increased vulnerability.

However, a set of common characteristics of ageing can be identified in mammals.There are many theories of ageing, currently one theory with much emphasis is “oxidative stress model”. In this hypothesis , oxygen derived free radicals formation with in the cells causes protein damage by oxidation and the pool of damaged enzymes progressively increase in size with increased age.

AIMS and OBJECTIVES

To Study the commonest complications that contributes to the morbidity and mortality after abdominal surgery in elderly.

To consider preventive measures that can be adopted to minimize morbidity and mortality in elderly.

MATERIALS and METHODS

This prospective study was conducted in orthocare hospital Delhi from May 1^st 2014 to may 2017.The most widely used scale has been the American Society of Anesthesiology (ASA) score, initially developed to classify a patient’s physical status based on subjective degree of systemic disease prior to surgery rather than“operative risk” . ASA score is used most commonly to give surgeons and anesthesiologists an estimate of risk of postoperative complications.

Summary and conclusion

Co–morbid illness, ASA grading, diagnosis, emergency procedure, duration of operation and late recovery after operation are common factors leading to increased mortality and morbidity after surgery in elderly.