Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

29
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
29
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

23
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
23
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Beyond the scalpel: Quality care and patient safety.

JPMA. The Journal of the Pakistan Medical Association·2026
Same author

The Evolution of Patient Safety Practices Over the Last Two Decades.

JPMA. The Journal of the Pakistan Medical Association·2026
Same author

The Impact of Mortality and Morbidity Meetings on Quality Improvement and Patient Safety.

JPMA. The Journal of the Pakistan Medical Association·2026
Same author

Incidence, microbiological spectrum, and antimicrobial resistance patterns of surgical site infections at a tertiary care hospital in Pakistan: a retrospective observational study.

BMC infectious diseases·2026
Same author

Evaluating the implementation of the vignettes-based injury care process assessment tool in low- and middle-income countries settings.

BMC health services research·2026
Same author

Long-Term Outcomes Following Traumatic Injury in Older Adults in Pakistan: A Prospective Cohort Study.

The Journal of surgical research·2026

Related Experiment Video

Updated: Sep 17, 2025

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
04:00

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

679

When Is Old NOT Gold? Identifying Global Age Risk Surgical Thresholds to Improve Outcomes.

Komal Abdul Rahim1, Kinzah Razzak Ghazi2, Kantesh Kumar3

  • 1Centre of Excellence for Trauma and Emergencies & Dean's Office, Aga Khan University, Karachi, Pakistan.

The Journal of Surgical Research
|June 29, 2025
PubMed
Summary

Identifying the optimal age threshold for surgical risk stratification is crucial. Patients aged 52.595 and above in Pakistan face increased postoperative mortality and complications, necessitating targeted interventions.

Keywords:
Frailty assessmentHigh-risk surgical patientsLow- and middle-income countries (LMICs)Modified frailty indexMortalityOptimal age thresholdSurgical risk stratification

More Related Videos

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
04:45

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way

Published on: May 10, 2021

3.9K
Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
03:05

Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors

Published on: February 16, 2024

1.2K

Related Experiment Videos

Last Updated: Sep 17, 2025

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
04:00

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

679
Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
04:45

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way

Published on: May 10, 2021

3.9K
Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
03:05

Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors

Published on: February 16, 2024

1.2K

Area of Science:

  • Surgical outcomes research
  • Geriatric surgery
  • Health services research

Background:

  • Patient age significantly impacts healthcare outcomes, but optimal risk thresholds remain unclear.
  • Limited evidence exists on specific age cutoffs that increase adverse surgical outcomes, particularly in low- and middle-income countries.
  • Preoperative risk stratification is essential for optimizing surgical outcomes and guiding clinical decisions.

Purpose of the Study:

  • To identify the optimal age threshold for classifying surgical patients as high-risk in Pakistan.
  • To utilize the modified frailty index for preoperative risk stratification.
  • To inform clinical decision-making and improve surgical outcomes.

Main Methods:

  • Analysis of American College of Surgeons National Surgical Quality Improvement Program data (2019-2022).
  • Identification of high-risk patients using the modified frailty index (score ≥ 2).
  • Application of receiver-operator curve (ROC) analysis to determine the optimal age threshold and Cox proportional regression for hazard ratios.

Main Results:

  • A total of 10,060 patients were analyzed, with an optimal age threshold for high-risk identified at 52.595 years (AUC 0.72).
  • Patients aged 52.595 years and above exhibited twice the postoperative mortality (2.95% vs. 1.11%) and higher complication rates (27.01% vs. 19.28%).
  • Case acuity and postoperative cardiac complications were significant predictors of mortality in both risk groups.

Conclusions:

  • Age is a significant factor associated with adverse outcomes in the surgical population.
  • Establishing an age threshold for high-risk surgical patients is critical for implementing targeted interventions in low- and middle-income countries.
  • This study provides a crucial age cutoff for risk stratification to improve surgical care in Pakistan.