Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10371
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dc.contributor.authorMcNicol, Larryen
dc.contributor.authorStory, David Aen
dc.contributor.authorLeslie, Kateen
dc.contributor.authorMyles, Paul Sen
dc.contributor.authorFink, Michael Aen
dc.contributor.authorShelton, Andrew Cen
dc.contributor.authorClavisi, Ornellaen
dc.contributor.authorPoustie, Stephanie Jen
dc.date.accessioned2015-05-15T23:48:08Z
dc.date.available2015-05-15T23:48:08Z
dc.date.issued2007-05-07en
dc.identifier.citationMedical Journal of Australia; 186(9): 447-52en
dc.identifier.govdoc17484705en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10371en
dc.description.abstractTo determine the incidence of postoperative complications, including 30-day mortality rate, and need for intensive care unit (ICU) admission in older patients after non-cardiac surgery.Prospective observational study of all patients aged 70 years or older having elective and non-elective, non-cardiac surgery, and staying at least 1 night after surgery in one of three Melbourne teaching hospitals, June to September 2004.Postoperative complications and 30-day mortality rate.1102 consecutive patients were audited in mid 2004; 70% had pre-existing comorbidities. The 30-day mortality rate was 6%; 19% had postoperative complications; and 20% of patients spent at least 1 night in ICU. On multivariate analysis, preoperative factors associated with 30-day mortality included age (odds ratio [OR], 1.09 per year over 70 years; 95% CI, 1.04-1.13; P < 0.001); increasing severity of systemic disease (American Society of Anesthesiologists physical status classification) (OR, 2.53; 95% CI, 1.65-3.86; P < 0.001); and albumin level < 30 g/L (OR, 2.23; 95% CI, 1.09-4.57; P = 0.03). Postoperative factors associated with 30-day mortality were unplanned ICU admission (OR, 3.95; 95% CI, 1.63-9.55; P = 0.003); sepsis (OR, 2.75; 95% CI, 1.17-6.47; P = 0.02); and acute renal impairment (OR, 2.40; 95% CI, 1.06-5.41; P = 0.04). Thoracic surgery was the only surgical specialty significantly associated with mortality (OR, 3.96; 95% CI, 1.44-9.10; P = 0.008) in the multivariate analysis.Older patients having surgery had high rates of comorbidities and postoperative complications, placing considerable demands on critical care services. Patient factors were often stronger predictors of mortality than the type of surgery.en
dc.language.isoenen
dc.subject.otherAcute Kidney Injury.mortalityen
dc.subject.otherAge Factorsen
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherAustralia.epidemiologyen
dc.subject.otherFemaleen
dc.subject.otherHospital Mortalityen
dc.subject.otherHospitals, Teachingen
dc.subject.otherHumansen
dc.subject.otherIntensive Care Units.utilizationen
dc.subject.otherMaleen
dc.subject.otherMultivariate Analysisen
dc.subject.otherPostoperative Complications.epidemiologyen
dc.subject.otherProspective Studiesen
dc.subject.otherSepsis.mortalityen
dc.subject.otherSerum Albumin.analysisen
dc.subject.otherSeverity of Illness Indexen
dc.subject.otherSurgical Procedures, Operative.mortalityen
dc.titlePostoperative complications and mortality in older patients having non-cardiac surgery at three Melbourne teaching hospitals.en
dc.typeJournal Articleen
dc.identifier.journaltitleMedical Journal of Australiaen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen
dc.description.pages447-52en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/17484705en
dc.type.austinJournal Articleen
local.name.researcherFink, Michael A
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptAnaesthesia-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptSurgery-
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