Hostname: page-component-76fb5796d-45l2p Total loading time: 0 Render date: 2024-04-26T05:37:40.871Z Has data issue: false hasContentIssue false
  • English
  • Français

The aging surgical patient – a selective review of areas of recent clinical and research interest

Published online by Cambridge University Press:  17 November 2008

D Gwyn Seymour
D Gwyn Seymour*
Affiliation:
University of Wales College of Medicine, Cardiff, UK
*
D Gwyn Seymour, Senior Lecturer in Geriatric Medicine, University Department of Geriatric Medicine, Cardiff Royal Infirmary (West Wing), Newport Road, Cardiff CF2 1SZ, UK.
Get access Rights & Permissions [Opens in a new window]

Abstract

An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 3 , Issue 3 , August 1993 , pp. 231 - 244
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Dodson, ME, Seymour, DG. Surgery and anaesthesia in old age. In: Brocklehurst, JC, Tallis, RC, Fillit, HM eds. Textbook of geriatric medicine and gerontology, fourth edition. Edinburgh: Churchill Livingstone, 1992: 942–68.Google Scholar
2Snustad, DG, Lindsay, RW. Perioperative assessment and management in older patients. In: Evans, JG, Williams, TF eds. Oxford textbook of geriatric medicine. Oxford: Oxford Medical Publications, 1992: 674–82.Google Scholar
3Crosby, DL, Rees, GAD. Anaesthesia and surgery in the elderly. In: Pathy, MSP ed. Principles and practice of geriatric medicine, second edition. Chichester: Wiley, 1991: 1367–83.Google Scholar
4Crosby, DL, Rees, GAD, Seymour, DG eds. The ageing surgical patient: anaesthetic, operative and medical management. Chichester: Wiley, 1992.Google Scholar
5Davenport, HT.Anaesthesia in the elderly. London: Heinemann, 1986: ix.Google Scholar
6Seymour, DG, Rees, GAD, Crosby, DL. Introduction and general principles. In: Crosby, DL, Rees, GAD, Seymour, DG eds. The ageing surgical patient: anaesthetic, operative and medical management. Chichester: Wiley, 1992: 1–90.Google Scholar
7Royal College of Physicians. Fractured neck of femur, prevention and management. J R Coll Phys Lond 1989; 23: 8–12.Google Scholar
8Gingell, JC, Dodds, C. Urology. In: Crosby, DL, Rees, GAD, Seymour, DG eds. The ageing surgical patient: anaesthetic, operative and medical management. Chichester: Wiley, 1992: 153–78.Google Scholar
9Churchill, LR.Should we ration health care by age? J Am Geriatr Soc 1988; 36: 644–47.CrossRefGoogle ScholarPubMed
10Levinsky, NG.Age as a criterion for rationing health care. New Engl J Med 1990; 322: 1813–16.CrossRefGoogle ScholarPubMed
11Wetle, T.Age as a risk factor for inadequate treatment. JAMA 1987; 258: 516.CrossRefGoogle ScholarPubMed
12Smith, A.Qualms about QALYs. Lancet 1987; i: 1134–36.CrossRefGoogle Scholar
13Seymour, DG. Prediction of risk in the elderly surgical patient [Thesis]. Birmingham, 1988.Google Scholar
14Seymour, DG, Vaz, FG.A prospective study of elderly general surgical patients. II. Post-operative complications. Age Ageing 1989; 18: 316–26.CrossRefGoogle ScholarPubMed
15Knaus, WA, Wagner, DP, Draper, EA et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991; 100: 1619–36.CrossRefGoogle ScholarPubMed
16Hofman, A, Vandenbroucke, JP. Geoffrey Rose's Big Idea. Br Med J 1992; 305: 1519–20.CrossRefGoogle ScholarPubMed
17Russell, IT, Wilson, BJ.Audit: the third clinical science? Quality in Health Care 1992; 1: 51–55.CrossRefGoogle ScholarPubMed
18Wasson, JH, Sox, HC, Neff, RK, Goldman, L.Clinical prediction rules. Applications and methodological standards. N Engl J Med 1985; 313: 793–99.CrossRefGoogle ScholarPubMed
19Seymour, DG, Green, M, Vaz, FG, Coles, EC.Risk prediction in medicine and surgery: ethical and practical considerations. J R Coll Phys Lond 1990; 24: 173–77.Google Scholar
20Sackett, DL, Haynes, RB, Guyatt, GH, Tugwell, P.Clinical epidemiology. A basic science for clinical medicine, second edition. Boston: Little, Brown, 1991.Google Scholar
21Mangano, DT.Perioperative cardiac morbidity. Anesthesiology 1990; 72: 153–84.CrossRefGoogle ScholarPubMed
22Wong, T, Detsky, AS. Preoperative cardiac risk assessment for patients having peripheral vascular surgery. Ann Intern Med 1992; 116: 743–53.CrossRefGoogle ScholarPubMed
23Seymour, DG.Medical assessment of the elderly surgical patient. London: Croom Helm, 1986.Google Scholar
24Larsen, SF, Olesen, KH, Jacobsen, E et al. Prediction of cardiac risk in non-cardiac surgery. Eur Heart J 1987; 8: 179–85.CrossRefGoogle ScholarPubMed
25Pedersen, T, Eliasen, K, Henriksen, E.A prospective study of risk factors and cardiopulmonary complications associated with anaesthesia and surgery: risk indicators of cardiopulmonary morbidity. Acta Anaesth Scand 1990; 34: 144–55.CrossRefGoogle ScholarPubMed
26Goldman, L, Caldera, DL, Nussbaum, SR et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med 1977; 297: 845–50.CrossRefGoogle ScholarPubMed
27Detsky, AS, Abrams, HB, McLaughlin, JR.Predicting cardiac complications in patients undergoing non-cardiac surgery. J Gen Intern Med 1986; 1: 211–19.CrossRefGoogle ScholarPubMed
28Detsky, AS, Abrams, HB, Forbath, N, Scott, JG, Hilliard, JR.Cardiac assessment for patients undergoing noncardiac surgery. A multifactorial clinical risk index. Arch Intern Med 1986; 146: 2131–34.CrossRefGoogle ScholarPubMed
29Cooperman, M, Pflug, B, Martin, EW, Evans, WE.Cardiovascular risk factors in patients with peripheral vascular disease. Surgery 1978; 84: 505–509.Google ScholarPubMed
30Rao, TLK, Jacobs, KH, El-Etr, AA.Reinfarction following anaesthesia in patients with myocardial infarction. Anesthesiology 1983; 59: 499–505.CrossRefGoogle ScholarPubMed
31Del Guercio, LRM, Cohn, JD.Monitoring operative risk in the elderly. JAMA 1980; 243: 1350–55.CrossRefGoogle ScholarPubMed
32Babu, SC, Sharma, PVP, Raciti, A et al. Monitor-guided responses. Operability with safety is increased in patients with peripheral vascular diseases. Arch Surg 1980; 115: 1384–86.CrossRefGoogle ScholarPubMed
33Berlauk, JF, Abrams, JH, Gilmour, IJ, O'Connor, SR, Knighton, DR, Cerra, FB.Preoperative optimization of cardiovascular hemodynamics improves outcome in peripheral vascular surgery. A prospective, randomized clinical trial. Ann Surg 1991; 214: 289–99.CrossRefGoogle ScholarPubMed
34Abraham, SA, Coles, NA, Coley, CM, Strauss, HW, Boucher, CA, Eagle, KA.Coronary risk of noncardiac surgery. Prog Cardiovasc Dis 1991; XXXIV: 205–34.CrossRefGoogle Scholar
35Carliner, NH, Fisher, ML, Plotnick, GD et al. Routine preoperative exercise testing in patients undergoing major noncardiac surgery. Am J Cardiol 1985; 56: 51–58.CrossRefGoogle ScholarPubMed
36Mangano, DT, London, MJ, Tubau, IF et al. Dipyridamole thallium-201 scintigraphy as a preoperative screening test. A reexamination of its predictive potential. Circulation 1991; 84: 493–502.CrossRefGoogle Scholar
37Pohost, GM.Dipyridamole thallium test. Is it useful for predicting coronary events after vascular surgery? Circulation 1991; 84: 931–32.CrossRefGoogle ScholarPubMed
38Lette, J, Waters, D, Cerino, M, Picard, M, Champagne, P, Lapointe, J.Preoperative coronary artery disease risk stratification based on dipyridamole imaging and a simple three-step, three-segment model for patients undergoing noncardiac vascular surgery or major general surgery. Am J Cardiol 1992; 69: 1553–58.CrossRefGoogle ScholarPubMed
39Gerson, MC, Hurst, JM, Hertzberg, VS et al. Cardiac prognosis in noncardiac geriatric surgery. Ann Intern Med 1985; 103 (6 pt 1): 832–37.CrossRefGoogle ScholarPubMed
40Gerson, MC, Hurst, JM, Hertzberg, VS, Baughman, R, Rouan, GW, Ellis, K.Prediction of cardiac and pulmonary complications related to elective abdominal and noncardiac thoracic surgery in geriatric patients. Am J Med 1990; 88: 101–107.CrossRefGoogle ScholarPubMed
41Various publications of the Study of Perioperative Ischemia Research Group.JAMA 1992; 268: 205–21, 228–39.CrossRefGoogle Scholar
42Freeman, WK, Gibbons, RJ, Shub, C.Preoperative assessment of cardiac patients undergoing noncardiac surgical procedures. Mayo Clin Proc 1989; 64: 1105–17.CrossRefGoogle ScholarPubMed
43Seymour, DG, Green, M, Vaz, FG.Making better decisions: the construction of clinical scoring systems using the Spiegelhalter and Knill-Jones approach. Br Med J 1990; 300: 223–26.CrossRefGoogle ScholarPubMed
44American College of Physicians. Preoperative pulmonary function testing. Ann Intern Med 1990; 112: 793–94.CrossRefGoogle Scholar
45Zibrak, JD, O'Donnell, CR, Marton, K.Indications for pulmonary function testing. Ann Intern Med 1990; 112: 763–771.CrossRefGoogle ScholarPubMed
46Lawrence, VA, Page, CP, Harris, GD.Preoperative spirometry before abdominal operations. A critical appraisal of its predictive value. Arch Intern Med 1989; 149: 280–85.CrossRefGoogle ScholarPubMed
47Kroenke, K, Lawrence, VA, Theroux, JF, Tuley, MR.Operative risk in patients with severe obstructive pulmonary disease. Arch Intern Med 1992; 152: 967–71.CrossRefGoogle ScholarPubMed
48Hall, JC, Tarala, R, Harris, J, Tapper, J, Christiansen, K.Incentive spirometry versus routine chest physiotherapy for prevention of pulmonary complications after abdominal surgery. Lancet 1991; 337: 953–56.CrossRefGoogle ScholarPubMed
49Jones, JG, Sapsford, DJ, Wheatley, RG.Postoperative hypoxaemia: mechanisms and time course. Anaesthesia 1990; 45: 566–73.CrossRefGoogle ScholarPubMed
50Knill, RL, Moote, CA, Skinner, MI, Rose, EA.Anesthesia with abdominal surgery leads to intense REM sleep during the first postoperative week. Anesthesiology 1990; 73: 52–61.CrossRefGoogle ScholarPubMed
51Pateman, JA, Hanning, CD.Post-operative myocardial infarction and episodic hypoxaemia. Br J Anaesth 1989; 63: 648–50.CrossRefGoogle Scholar
52Rosenberg, J, Rasmussen, V, von, Jessen F, Ullstad, T, Kehlet, H.Late postoperative episodic and constant hypoxaemia and associated ECG abnormalities. Br J Anaesth 1990; 65: 684–91.CrossRefGoogle ScholarPubMed
53Reeder, MK, Goldman, MD, Loh, L et al. Postoperative hypoxaemia after major abdominal vascular surgery. Br J Anaesth 1992; 68: 23–26.CrossRefGoogle ScholarPubMed
54Detsky, AS, Baker, JP, O'Rourke, K, Goel, V.Perioperative parenteral nutrition: a meta-analysis. Ann Intern Med 1987; 107: 195–203.CrossRefGoogle ScholarPubMed
55Campos, ACL, Meguid, MM.A critical appraisal of the usefulness of perioperative nutritional support. Am J Clin Nutr 1992; 55: 117–30.CrossRefGoogle ScholarPubMed
56Bastow, MD, RawLings, J, Allison, SP.Benefits of supplementary tube feeding after fractured neck of femur: a randomised controlled trial. Br Med J 1983; 287: 1589–92.CrossRefGoogle ScholarPubMed
57Delmi, M, Rapin, C-H, Bengoa, J-M, Delmas, PD, Vasey, H, Bonjour, J-P.Dietary supplementation in elderly patients with fractured neck of the femur. Lancet 1990; 335: 1013–16.CrossRefGoogle ScholarPubMed
58ASPEN Board of Directors. Guidelines for use of total parenteral nutrition in the hospitalized adult patient. JPEN 1986; 10: 441–45.CrossRefGoogle Scholar
59ASPEN Board of Directors. Guidelines for use of enteral nutrition in the adult patient. JPEN 1987; 11: 435–39.CrossRefGoogle Scholar
60The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med 1991; 325: 525–32.CrossRefGoogle Scholar
61Windsor, JA, Hill, GL.Weight loss with physiologic impairment. A basic indicator of surgical risk. Ann Surg 1988; 207: 290–96.CrossRefGoogle ScholarPubMed
62Hill, GLSurgical nutrition: time for some clinical common sense. Br J Surg 1988; 75:729–30.CrossRefGoogle ScholarPubMed
63Detsky, AS.Parenteral nutrition – is it helpful? N Engl J Med 1991; 325: 573–75.CrossRefGoogle ScholarPubMed
64Dodson, ME.Aspects of anaesthesia in the elderly. Br J Hosp Med 1987; 37: 114–20.Google ScholarPubMed
65Dodson, ME. Modifications of general anaesthesia for the aged. In: Davenport, HT ed. Anaesthesia and the aged patient. Oxford: Blackwell, 1988: 204–30.Google Scholar
66Buck, N, Devlin, HB, Lunn, JN. The Report of a Confidential Enquiry into Pen-Operative Deaths (CEPOD). London: Nuffield Provincial Hospitals Trust, 1987.Google Scholar
67McKenzie, PJ, Wishart, HY, Gray, I, Smith, G.Effects of anaesthetic technique on deep vein thrombosis. A comparison of subarachnoid and general anaesthesia. Br J Anaesth 1985; 57: 853–57.CrossRefGoogle ScholarPubMed
68Tucker, GT. Mechanism of altered drug effects in the aged. In: Davenport, HT ed. Anaesthesia and the aged patient. Oxford: Blackwell, 1988: 126–44.Google Scholar
69Grimley, Evans J.Falls and fractures. Age Ageing 1988; 17: 361–64.Google Scholar
70Gilchrist, WJ, Newman, RJ, Hamblen, DL, Williams, BO.Prospective randomised study of an orthopaedic geriatric inpatient service. Br Med J 1988; 297: 1116–18.CrossRefGoogle ScholarPubMed
71Kennie, DC, Reid, J, Richardson, IR, Kiamara, AA, Kelt, C.Effectiveness of geriatric rehabilitation care after fractures of the proximal femur in elderly women: a randomised clinical trial. Br Med J 1988; 297: 1083–86.CrossRefGoogle ScholarPubMed
72Kennie, DC, Reid, J.Postsurgical care of elderly women with fractures of the proximal femur. Br J Hosp Med 1990; 44: 106–13.Google ScholarPubMed
73Campling, EA, Devlin, HB, Hoile, RW, Lunn, JN.The Report of the National Confidential Enquiry into Perioperative Deaths 1990 (NCEPOD). London, 1992.Google Scholar