Factors Affecting Postoperative Complications in the Elderly Patients undergoing Surgery in Sichon Hospital, Nakhon Si Thammarat Province
Keywords:
Complications, Elderly Patients, SurgeryAbstract
Background: Postoperative complication are significant medical concern, particularly in the elderly population. These complications can impact the duration of recovery, patient safety, and overall quality of life following surgery.
Objectives: This research aimed to study factors affecting postoperative complications in elderly patients who had surgery at Sichon Hospital, Nakhon Si Thammarat Province.
Method: This is a retrospective study of the medical records. A purposive sampling technique was used for selecting 252 elderly patients receiving surgery in 2022. Logistic regression (Multivariable analysis) was used for data analysis.
Result: The results of the study found that factors affecting postoperative complications in the elderly were statistically significant when other factors were constantly controlled, including preoperative anemia, type of surgery and blood loss. It was found that elderly patients who were anemic before surgery (HB less than 10 g/dl) had an increased risk of postoperative complications 2.58 times more than elderly patients without anemia with statistically significant (95% CI: 1.03-6.47, P-value = 0.044). The Elderly patients undergoing urological surgery had the risk of postoperative complications by 72% compared to the other type of surgery with statistically significant (95% CI: 0.096-0.84, P-value = 0.023). Furthermore, elderly patients with 100-500 cc blood loss had an increased risk of postoperative complications by 4.73 times of those patients with blood loss less than 100 cc with statistically significant (95% CI: 2.19-10.25, P-value < 0.001).
Conclusion: The results of this study highlight the importance of evaluating and managing factors affecting postoperative complications among the elderly, especially anemia before surgery, blood loss during surgery, and type of surgery. The effectiveness of management of these factors can increase the chance and success of the surgical procedure and also can reduce the risk of complications that can be unsafe for the elderly.
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