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Is age a risk factor for surgery?

M F Lubin1

  • 1Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia.

The Medical Clinics of North America
|March 1, 1993
PubMed
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Surgery in elderly patients involves complex risks, but age alone should not prevent necessary procedures. Physiological changes, existing conditions, and procedure type influence outcomes, not just chronological age.

Area of Science:

  • Geriatric Medicine
  • Surgical Outcomes
  • Patient Safety

Background:

  • Assessing surgical risk in elderly patients is complex.
  • Multiple factors influence mortality rates in geriatric surgical care.

Purpose of the Study:

  • To analyze the multifaceted nature of age as a risk factor in elderly surgery.
  • To emphasize that age should not be the sole determinant for denying surgical intervention.

Main Methods:

  • Review of factors impacting surgical mortality in the elderly.
  • Analysis of physiological changes associated with aging.
  • Consideration of comorbidities and procedure characteristics.

Main Results:

  • Physiological changes, disease states, procedure type, and emergency status significantly affect surgical outcomes in older adults.

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  • Despite risks, many elderly patients experience positive outcomes and benefits from surgery.

    • Conclusions:

    • Age is a complicated risk factor in geriatric surgery.
    • Elderly patients can benefit from surgical procedures, and age alone should not be a barrier to indicated surgery.