Author/Editor		Horvat, I; Flis, V
Title		Tveganje anestezije pri starostnikih: pilotska raziskava
Translated title		Risk of anesthesia for the elderly: a pilot study
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 61, št. 5-6
Publication year		1992
Volume		str. 301-4
Language		slo
Abstract		Background. The number of operated elderly persons is constantly growing. Because of number of accompanying diseases and physiological changes in aged persons they have always been considered as high risk patients. It was the aim of this retrospective pilot study to analyse risk factors for planned prospective follow up of anaesthesia related mortality and morbidity. Methods. The trial was carried out during 1985 - 90. Only patients with rectosigmoid cancer where abdominoperineal excision or resection with anastomosts was done were included. They were divided into two groups. In the first group there were elderly over 70 years (95 patients, average 77,5 years, 41 men, 54 women, range 70 - 88 years). In control group there were patients younger than 60 years (52 patients, average 51,2 years, 31 men, 21 women, range 30-60 years). Several preoperative and intraoperative risk factors were compared with pooperative morbidity and mortaliry related to anaesthesia. Results. Elderly were according to ASA criteria in significantly worser preoperative clinical state (ASA II/39, ASA III/54, ASA IV/2; x2 = 83.5, p = 0.01), and the observation time in recovery room was significantly longer (x2 = 13.2, p = 0.01). There was no statistically significant correlation between other observed risk factors and anaesthesia related morbidity and mortality. There were 7 deaths among elderly (7.3 per cent ) and 1 death in control group (1.9 per cent ) (difference is not statistically significant). Conclusions. Because of age related polimorbidity elderly prospective computer aided study. represent a special risk group. Complex interrelationship of risk factors related to anaesthesia could be partially followed up with
Descriptors		POSTOPERATIVE COMPLICATIONS ANESTHESIA, GENERAL RISK FACTORS AGED