التفاصيل البيبلوغرافية
العنوان: |
Association between frailty, cerebral oxygenation and adverse post-operative outcomes in elderly patients undergoing non-cardiac surgery: An observational pilot study |
المؤلفون: |
Shariq Ali Khan, Henry Wenjie Chua, Premila Hirubalan, Ranjith Baskar Karthekeyan, Harikrishnan Kothandan |
المصدر: |
Indian Journal of Anaesthesia, Vol 60, Iss 2, Pp 102-107 (2016) |
بيانات النشر: |
Wolters Kluwer Medknow Publications, 2016. |
سنة النشر: |
2016 |
المجموعة: |
LCC:Anesthesiology |
مصطلحات موضوعية: |
Cerebral oxygenation, frailty, non-cardiac surgery, post-operative outcome, Anesthesiology, RD78.3-87.3 |
الوصف: |
Background and Aims: Although both frailty and low cerebral oxygen saturation increase the risk of post-operative complications, their relationship is yet to be investigated. The purpose of this observational study was to investigate the association between frailty, intraoperative cerebral oxygen saturation and post-operative complications in elderly patients undergoing non-cardiac surgery. Methods: After approval from the Institutional Review Board, 25 elderly patients (>65 years) undergoing non-cardiac major surgery were included in this study. Pre-operatively, all included patients were assessed for frailty and classified into frail and non-frail groups. All patients had routine intraoperative monitors, and a cerebral oximeter applied during anaesthesia. The 'intraoperative' anaesthesiologist and the post-operative study investigator were blinded to cerebral oximeter readings throughout the study. The incidence of significant intraoperative cerebral oxygen desaturation, adverse post-operative outcomes and length of hospital stay were compared. Statistical significance was defined as a value of P < 0.05. Results: We found that the frail group had more intraoperative cerebral desaturation (odds ratio [OR] [95% confidence interval [CI]]: 1.75 [1.11–2.75]) and longer median (interquartile range) length of hospital stay compared to the non-frail group (13.5 days [8.75–27.5] and 8 days [6–11], respectively). Furthermore, in patients with a low-baseline cerebral oxygen saturation ( |
نوع الوثيقة: |
article |
وصف الملف: |
electronic resource |
اللغة: |
English |
تدمد: |
0019-5049 |
Relation: |
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=2;spage=102;epage=107;aulast=Khan; https://doaj.org/toc/0019-5049 |
DOI: |
10.4103/0019-5049.176278 |
URL الوصول: |
https://doaj.org/article/b5a27b9352854a42912c9a0a1e706f6c |
رقم الانضمام: |
edsdoj.b5a27b9352854a42912c9a0a1e706f6c |
قاعدة البيانات: |
Directory of Open Access Journals |