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 .
Gender Differences in Stroke Risk Among the Elderly After Coronary Artery Surgery
BACKGROUND : Previous studies have shown that women are at higher risk than men for stroke after coronary artery bypass graft ( CABG ) surgery , but gender differences in systemic atherosclerosis have not been studied adequately . We investigated gender differences in the incidence of craniocervical and ascending aortic atherosclerosis and other risk factors for stroke in elderly patients ( age ≥60 yr ) undergoing CABG surgery .  METHODS : Data were prospect ively collected on 720 patients ( 31.8 % women ) undergoing CABG surgery .  All patients underwent preoperative brain magnetic resonance imaging and angiography to assess for prior cerebral infa rct ions , carotid artery stenosis , and intracranial arterial stenosis . Epiaortic ultrasound was performed at the time of surgery to assess for atherosclerosis of the ascending aorta . Cognitive status was measured using the Hasegawa-dementia score in all patients before surgery and on the seventh postoperative day . RESULTS : Women were older and had more hypertension and intracranial arterial stenosis than did men . Men had significantly higher rates of hyperlipidemia , peripheral vascular disease , abdominal aortic aneurysm , smoking history , severe carotid artery stenosis , and severe aortic atherosclerosis than did women . Although there were no differences in prior cerebral infa rct ion or preoperative cognitive impairment , the rate of perioperative stroke was marginally higher in men than in women ( 3.9 % vs 1.3 % , P = 0.066 ) . Univariate predictors of perioperative stroke were prior cerebral infa rct ions , ascending aortic atherosclerosis , preexisting cognitive impairment , and peripheral vascular disease . Stepwise logistic regression analysis demonstrated that significant independent predictors of perioperative stroke were prior cerebral infa rct ions and aortic atherosclerosis . CONCLUSIONS : These data suggest that men are more likely than women to have risk factors for stroke , including severe carotid artery stenosis , severe aortic atherosclerosis , and peripheral vascular disease . The rates of prior cerebral infa rct ion and preoperative cognitive impairment were similar between genders
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 .