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Is elective surgery in the elderly worthwhile?

J E Robb, I Murray, C MacKay

    Scottish Medical Journal
    |June 1, 1987
    PubMed
    Summary
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    Elective surgery for older adults is generally safe and effective. Most patients maintained their activities of daily living (ADL) post-surgery, with minimal negative impacts on social rehabilitation.

    Area of Science:

    • Geriatric Medicine
    • Surgical Outcomes
    • Social Rehabilitation

    Background:

    • Older adults undergoing elective surgery require careful assessment of post-operative functional status.
    • Activities of Daily Living (ADL) are crucial indicators of independence and quality of life in the elderly.

    Purpose of the Study:

    • To evaluate potential difficulties in managing Activities of Daily Living (ADL) after elective surgery in patients aged 70 years and older.
    • To assess the impact of elective surgery on social rehabilitation and community resource utilization in this demographic.

    Main Methods:

    • Prospective study interviewing 102 patients (median age 70.9 years) at home.
    • Interviews conducted pre-operatively and post-operatively to assess ADL management.
    • Included consecutive admissions from general surgery, gynaecology, and urology.

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    Main Results:

    • All patients survived six months post-surgery; 98% were cured.
    • Twelve patients experienced a decline in ADL performance.
    • No patients required institutionalization due to available spousal or home-help support.

    Conclusions:

    • Elective surgery is a worthwhile intervention for patients in this age group.
    • Surgery demonstrates minimal adverse effects on social rehabilitation.
    • Post-operative ADL management is feasible with adequate support systems, placing few demands on community resources.