Conclusion Geriatric syndromes are important prognostic factors for postoperative complications .
Background Elective surgeries can be associated with significant harm to older adults .
The present study aim ed to identify the prognostic factors associated with the development of postoperative complications among older adults undergoing elective surgery .
Cardiac prognosis in noncardiac geriatric surgery.
Predictors of perioperative complications , including cardiac death , ventricular tachycardia or fibrillation , and heart failure or myocardial infa rct ion , were assessed in an initial study of 100 patients aged 65 years or older scheduled for elective abdominal or noncardiac thoracic surgery .  Preoperative history , results of physical examination , chest roentgenogram , electrocardiogram , laboratory data , Dripps ( American Society of Anesthesiologists ) class , and Goldman cardiac risk index were compared with rest and exercise radionuclide ventriculograms . Thirteen patients had perioperative cardiac complications , and 6 died . Multivariate analysis showed that an inability to do 2 minutes of bicycle exercise in the supine position to raise the heart rate above 99 beats/min ( sensitivity 85 % , specificity 64 % ) gave predictive information not available from clinical or radionuclide data . On prospect i ve testing involving 55 additional geriatric patients , inability to exercise was the only independent predictor of perioperative complications ( p less than 0.05 ) . Data from rest and exercise radionuclide ventriculography added little information for predicting perioperative cardiac risk
Conclusion Geriatric syndromes are important prognostic factors for postoperative complications .
Background Elective surgeries can be associated with significant harm to older adults .
The present study aim ed to identify the prognostic factors associated with the development of postoperative complications among older adults undergoing elective surgery .