Patterns of Surgical Care and Complications in Elderly Adults

• Published in: Journal of the American Geriatrics Society (JAGS) 2014-05, Vol.62 (5), p.829-835
• Main Authors: Deiner, Stacie, Westlake, Benjamin, Dutton, Richard P.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age Distribution; Age Factors; Aged; Aged, 80 and over; anesthesia; Biological and medical sciences; Epidemiology; Female; Follow-Up Studies; General aspects; Hospital Mortality - trends; Humans; Incidence; Male; Medical sciences; Middle Aged; Miscellaneous; Mortality; Older people; outcomes; Postoperative Complications - epidemiology; Public health. Hygiene; Public health. Hygiene-occupational medicine; Quality of Health Care - standards; Retrospective Studies; Risk Factors; Sex Distribution; Surgery; Surgical outcomes; Surgical Procedures, Operative - mortality; Survival Rate - trends; United States - epidemiology; Young Adult
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1111/jgs.12794

Objectives To determine whether procedures, hospitals visited, and complications would differ according to decade in elderly adults and from those of younger adults. Design Retrospective cohort study. Setting The Anesthesia Quality Institute National Anesthesia Clinical Outcomes Registry (NACOR) is the largest database of anesthesia cases from academic and community hospitals and includes all insurance and facility types across the United States. Participants Eight million six hundred thirty‐two thousand nine hundred seventy‐nine cases from January 2010 to March 2013 were acquired. After exclusion of individuals younger than 18, nonapplicable locations, and brain death, 2,851,114 remained and were placed into age categories (18–64, 65–69, 70–79, 80–89, ≥90). Measurements Participant, surgical, anesthetic, and hospital descriptors and short‐term outcomes (major complications, mortality at