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 .
Preoperative and operative predictors of delirium after cardiac surgery in elderly patients.
OBJECTIVES Delirium is a common complication in elderly patients after cardiac surgery and is associated with adverse outcomes including prolonged hospital stay and increased mortality . Therefore , prevention or early detection of delirium is indicated . Our objective was to identify preoperative and operative characteristics that could predict delirium after cardiac surgery in elderly patients . METHODS We conducted a prospect i ve cohort study in which we analysed 201 patients of 70 years and older who underwent cardiac surgery , for developing a delirium . Patients were assessed daily using the Confusion Assessment Method -Intensive Care Unit . RESULTS Sixty-three patients ( 31 % ) developed a delirium after cardiac surgery . The Mini-Mental State Examination ( MMSE ) score prior to surgery was lower in the delirious patients when compared with the non-delirious patients ( 27 vs. 28 , P = 0.026 ) , creatinine level was higher ( 98 vs. 88 μmol/l , P = 0.003 ) and extracorporeal circulation ( ECC ) time was longer ( 145 vs. 113 min , P < 0.001 ) . Mortality during the first 30 days after surgery in patients with delirium was significantly higher than that in the non-delirious patients ( 14 vs. 0 % , P < 0.001 ) . CONCLUSIONS Low MMSE score and high creatinine level prior to surgery as well as increased ECC time are important independent predictors of delirium . In addition , delirium is an important predictor of 30-day mortality . Patients with a substantial risk for delirium should be c and i date s for interventions to reduce postoperative delirium and to potentially improve overall surgical outcomes
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 .