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 .
One-year Outcome After Neurosurgery for Intracranial Tumor in Elderly Patients
Background The number of elderly patients proposed for brain tumor removal  is increasing . Only few data on long-term functional prognosis after intracranial surgery are available . Material s and Methods Prospect i ve , observational study of all patients greater than 70 year of age operated for intracranial tumors . Two scales for health status evaluation were used : Karnofsky Performance Scale ( KPS ) and Activities of Daily Living ( ADL ) score . Data were expressed as medians ( first to third quartiles ) . The primary endpoint was the probability to remain nondependant ( ADL>3 and KPS≥70 % ) after 1 year . Results Between 2003 and 2007 , 90 patients were included : 46 ( 51.1 % ) meningioma , 17 ( 18.9 % ) high- grade glioma , and 11 ( 12.2 % ) metastasis . At hospital admission , age was 73.50 years ( 71.25 - 76.00 ) , American Society of Anesthesiology  score 2 ( 2 to 3 ) , KPS 80 % ( 70–90 ) , ADL 5.5 ( 4.5 to 6.0 ) . Two patients died during the first 28 days , 3 others during the first year . Both KPS and ADL decreased after 1 year : KPS 80 % ( 70 to 90 ; mean : 80 % ) at hospital admission versus 80 % ( 60 to 90 ) at 1 year ( mean : 70 % ) , P=0.003 ; ADL 5.5 ( 4.5 to 6.0 ) at hospital admission versus 5.0 ( 3.25 to 5.50 ) at 1 year , P=0.001 . In multivariate analysis , 2 preoperative parameters were associated with autonomy at 1 year : the ADL at hospital admission and meningioma as histologic type . Conclusions In this series of elderly patients , intracranial tumor surgery was associated with low 1-year mortality . Meningioma was associated with a better postoperative functional outcome . Preoperative ADL score was a predictive of functional evolution 1 year after the surgery
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 .