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 anxiety as a predictor of mortality and major morbidity in patients aged >70 years undergoing cardiac surgery.
The present study examined the association between patient-reported anxiety and postcardiac surgery mortality and major morbidity .  Frailty Assessment Before Cardiac Surgery was a prospect i ve multicenter cohort study of elderly patients undergoing cardiac surgery ( coronary artery bypass surgery and /or valve repair or replacement ) at 4 tertiary care hospitals from 2008 to 2009 . The patients were evaluated a mean of 2 days preoperatively with the  Hospital Anxiety and Depression Scale  , a vali date d question naire assessing depression and anxiety in hospitalized patients . The primary predictor variable was a high level of anxiety , defined by a Hospital Anxiety and Depression Scale score of ≥ 11 . The main outcome measure was all-cause mortality or major morbidity ( e.g. , stroke , renal failure , prolonged ventilation , deep sternal wound infection , or reoperation ) occurring during the index hospitalization . Multivariable logistic regression analysis examined the association between high preoperative anxiety and all-cause mortality/major morbidity , adjusting for the Society of Thoracic Surgeons predicted risk , age , gender , and depression symptoms . A total of 148 patients ( mean age 75.8 ± 4.4 years ; 34 % women ) completed the Hospital Anxiety and Depression Scale . High levels of preoperative anxiety were present in 7 % of patients . No differences were found in the type of surgery and Society of Thoracic Surgeons predicted risk across the preoperative levels of anxiety . After adjusting for potential confounders , high preoperative anxiety was remained independently predictive of postoperative mortality or major morbidity ( odds ratio 5.1 , 95 % confidence interval 1.3 to 20.2 ; p = 0.02 ) . In conclusion , although high levels of anxiety were present in few patients anticipating cardiac surgery , this conferred a strong and independent heightened risk of mortality or major morbidity
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 .