A prospective study of elderly general surgical patients: II. Post-operative complications.


:A prospective study was carried out on 288 general surgical patients aged 65 years and over. Over 40% of patients suffered no post-operative complication. The commonest post-operative problem was respiratory, with 17% of patients having simple atelectasis, 12% acute bronchitis and 10% pneumonia. Six per cent of patients developed post-operative heart failure and/or myocardial infarction. Delirium was noted post-operatively in 7% of patients, and new focal neurological signs in 1%. The post-operative hospital fatality rate was 5% (4% when deaths due to carcinomatosis were excluded). Nine patients out of ten spent less than a month in hospital. The relation of post-operative morbidity and mortality to seven factors was examined: type of surgery, urgency of surgery, urgency of admission, age, number of pre-operative medical diagnoses, American Society of Anesthetists' grade, and pre-operative mobility level. It appears that pre-operative medical fitness rather than chronological age is the main determinant of post-operative outcome in the elderly surgical patient.


Age Ageing


Age and ageing


Seymour DG,Vaz FG




Has Abstract


1989-09-01 00:00:00












  • Prevention of adverse drug reactions in hospitalized older patients with multi-morbidity and polypharmacy: the SENATOR* randomized controlled clinical trial.

    abstract:BACKGROUND:Multi-morbidity and polypharmacy increase the risk of non-trivial adverse drug reactions (ADRs) in older people during hospitalization. Despite this, there are no established interventions for hospital-acquired ADR prevention. METHODS:We undertook a pragmatic, multi-national, parallel arm prospective random...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: O'Mahony D,Gudmundsson A,Soiza RL,Petrovic M,Jose Cruz-Jentoft A,Cherubini A,Fordham R,Byrne S,Dahly D,Gallagher P,Lavan A,Curtin D,Dalton K,Cullinan S,Flanagan E,Shiely F,Samuelsson O,Sverrisdottir A,Subbarayan S,V

    更新日期:2020-07-01 00:00:00

  • Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review.

    abstract:BACKGROUND:aspiration pneumonia increases hospitalisation and mortality of older people in residential aged care. OBJECTIVES:determine potentially pathogenic microorganisms in oral specimens of older people with aspiration pneumonia and the effect of professional oral care in reducing aspiration pneumonia risk. DATA ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Khadka S,Khan S,King A,Goldberg LR,Crocombe L,Bettiol S

    更新日期:2021-01-08 00:00:00

  • Alcohol consumption by elderly people: a general practice survey.

    abstract::A random sample of 241 patients from General Practice registers in London were interviewed to assess alcohol consumption, cognitive impairment, depression and other factors. Fifty-one per cent of men and 22% of women reported use of alcohol in the previous 3 months. No significant association was found between reporte...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Iliffe S,Haines A,Booroff A,Goldenberg E,Morgan P,Gallivan S

    更新日期:1991-03-01 00:00:00

  • New horizons in fracture risk assessment.

    abstract::Fracture is the clinical outcome of concern in osteoporosis, a disease variably defined over the last 30 years, mostly in terms of bone mineral density (BMD). However, an 'osseocentric' view of the condition may have hampered our understanding of how best to identify patients at the greatest risk of fragility fracture...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Aspray TJ

    更新日期:2013-09-01 00:00:00

  • Resting energy expenditure in relation to energy intake in patients with Alzheimer's disease, multi-infarct dementia and in control women.

    abstract::Energy intake and resting energy expenditure in relation to body composition were studied in female patients with Alzheimer's disease, multi-infarct dementia and in home-living non-demented elderly women. Patients with Alzheimer's disease tended to have lower body weight and higher energy intake (p = NS) than control ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Niskanen L,Piirainen M,Koljonen M,Uusitupa M

    更新日期:1993-03-01 00:00:00

  • Alcohol and age.

    abstract::Alcohol consumption constitutes a substantial burden of disease. Older people are being admitted to hospital for alcohol problems in increasing numbers. A recent systematic review reports cautious supportive evidence for primary prevention interventions in reducing excessive alcohol consumption in older drinkers, but ...

    journal_title:Age and ageing

    pub_type: 评论,杂志文章


    authors: Crome IB,Crome P

    更新日期:2018-03-01 00:00:00

  • Potentially inappropriate prescribing in older residents in Irish nursing homes.

    abstract:BACKGROUND:STOPP/START was formulated to identify potentially inappropriate prescribing (PIP) and potential prescribing omissions (PPOs) in older people. The purpose of this study was to determine the prevalence of PIP and PPO in older Irish patients in residential care using STOPP/START. METHODS:data were collected p...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Ryan C,O'Mahony D,Kennedy J,Weedle P,Cottrell E,Heffernan M,O'Mahony B,Byrne S

    更新日期:2013-01-01 00:00:00

  • Are elderly Asians in Britain at a high risk of vitamin D deficiency and osteomalacia?

    abstract::Many studies have shown the indigenous elderly population and Asian immigrants to be groups at particular risk of vitamin D deficiency and osteomalacia, but there are no data on the risks in elderly Asians. In this community-based study a group of elderly Asians was compared with control groups of elderly and young wh...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Solanki T,Hyatt RH,Kemm JR,Hughes EA,Cowan RA

    更新日期:1995-03-01 00:00:00

  • Orthostatic hypotension in an octogenarian--an unusual presentation.

    abstract::Orthostatic hypotension is a common problem in older adults and can be associated with falls, dizziness and syncope and their associated consequences. Therefore, it is important to recognise the condition and institute appropriate management. We report an elderly woman who presented with orthostatic hypotension and wa...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Bragg F,Kumar NP

    更新日期:2005-05-01 00:00:00

  • Immunogenicity of inactivated influenza vaccine in residential homes for elderly people.

    abstract::One hundred and seventy residents of 11 Leicester City Council homes for the elderly, with a total of 515 beds, were studied during a 30-week period from September 1988 to March 1989 to determine the use of influenza vaccine, the levels of influenza antibody, the incidence of influenza, and the protection afforded by ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Nicholson KG,Baker DJ,Chakraverty P,Farquhar A,Hurd D,Kent J,Litton PA,Smith SH

    更新日期:1992-05-01 00:00:00

  • The place of the specialist home for the elderly mentally infirm in the care of mentally disturbed old people.

    abstract::In a city where specialist homes for the elderly mentally infirm (EMI) have been extensively developed, a study was carried out to determine if residents in such homes were mentally impaired to a degree intermediate between that of residents in ordinary homes, and those in psychogeriatric beds. The study, using valid ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: de Zoysa AS,Blessed G

    更新日期:1984-07-01 00:00:00

  • Acute confusion secondary to pneumocephalus in an elderly patient.

    abstract:PRESENTATION:an 83-year-old man was admitted to hospital with acute confusion 3 days after a direct flight from Australia. OUTCOME:computed tomography (CT) brain scan and magnetic resonance imaging head scan revealed the cause to be pneumocephalus, apparently the result of barotrauma caused by Valsalva manoeuvres when...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Chan YP,Yau CY,Lewis RR,Kinirons MT

    更新日期:2000-07-01 00:00:00

  • Prevention of malnutrition in older people during and after hospitalisation: results from a randomised controlled clinical trial.

    abstract:OBJECTIVE:to prevent the occurrence of weight loss during hospitalisation and following discharge by daily oral supplementation. DESIGN:in a prospective, randomised, controlled study of 80 patients aged 75 or more, and at risk of undernutrition based on their initial Mini Nutritional Assessment score, patients were ra...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Gazzotti C,Arnaud-Battandier F,Parello M,Farine S,Seidel L,Albert A,Petermans J

    更新日期:2003-05-01 00:00:00

  • The levodopa test in Parkinson's disease.

    abstract::The clinical diagnosis of Parkinson's disease may be difficult. In elderly patients there may be other causes of the triad of rigidity, bradykinesia and tremor. This study was designed to assess whether a single levodopa challenge could predict dopa responsiveness in patients with Parkinson's disease. Twenty-two of 27...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: D'Costa DF,Sheehan LJ,Phillips PA,Moore-Smith B

    更新日期:1995-05-01 00:00:00

  • The factors associated with self-reported physical activity in older adults living in the community.

    abstract:BACKGROUND:despite the vast literature in the area, few studies examined the large range of factors associated with physical activity (PA) in the older adult collectively, information that could help develop a supportive culture for healthy ageing. OBJECTIVE:to identify the socio-demographic, social connectedness, phy...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: McKee G,Kearney PM,Kenny RA

    更新日期:2015-07-01 00:00:00

  • Prognostic factors for continued or rebleeding and death from gastrointestinal haemorrhage in the elderly.

    abstract::We analysed 103 episodes of upper gastrointestinal bleeding in 88 elderly patients (age 76 +/- 7.7 years) to determine which of a group of 52 clinical and laboratory variables, measured on admission, best predicted continued or rebleeding, and death in these patients. Variables which related directly to the size of th...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Booker JA,Johnston M,Booker CI,Tydd T,Mitchell R

    更新日期:1987-07-01 00:00:00

  • Person-centred dementia services are feasible, but can they be sustained?

    abstract:BACKGROUND:we evaluated a specialist community-based dementia service to establish whether high quality care was being delivered and the conditions for doing so. The service was in an urban part of Rushcliffe Primary Care Trust, Nottinghamshire, United Kingdom. The service comprised an assessment team of an occupationa...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Gladman JR,Jones RG,Radford K,Walker E,Rothera I

    更新日期:2007-03-01 00:00:00

  • Determinants of outcome in elderly patients admitted to the intensive care unit.

    abstract:BACKGROUND:Age is thought to be strongly associated with intensive care outcomes, but this relationship may be confounded by many clinical variables. OBJECTIVES:To compare clinical characteristics of elderly patients (> or = 65 years) admitted to the intensive care unit (ICU) with those in younger patients and to iden...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Vosylius S,Sipylaite J,Ivaskevicius J

    更新日期:2005-03-01 00:00:00

  • The role of cortical bone and its microstructure in bone strength.

    abstract::Bone's mechanical competence and its fragility in particular depend to a certain extent on the structure and microstructure of the cortical bone compartment. Beyond bone mineral density (BMD) and bone mineral content, a variety of other features of cortical bone contribute to whole bone's resistance to fracture. Struc...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审


    authors: Augat P,Schorlemmer S

    更新日期:2006-09-01 00:00:00

  • Effect of music-based multitask training on cognition and mood in older adults.

    abstract:BACKGROUND:in a secondary analysis of a randomised controlled trial, we investigated whether 6 months of music-based multitask training had beneficial effects on cognitive functioning and mood in older adults. METHODS:134 community-dwellers aged ≥65 years at increased risk for falling were randomly assigned to either ...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Hars M,Herrmann FR,Gold G,Rizzoli R,Trombetti A

    更新日期:2014-03-01 00:00:00

  • The effect of inpatient respite care on elderly patients and their carers.

    abstract::Fifty-eight carers and their dependents who received inpatient respite care were studied before and during the admission period. Although there was no observable improvement in the carers' emotional well-being the majority of the patients showed an improvement in functioning, particularly those who were being looked a...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Homer AC,Gilleard CJ

    更新日期:1994-07-01 00:00:00

  • Dual-task effects of talking while walking on velocity and balance following a stroke.

    abstract:BACKGROUND:Therapists and nurses often use verbal instruction in the rehabilitation of mobility following stroke. This study aimed to determine whether performing a verbal cognitive task while walking adversely affected patients' balance and velocity. METHODS:There were two counterbalanced conditions: walking only and...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Bowen A,Wenman R,Mickelborough J,Foster J,Hill E,Tallis R

    更新日期:2001-07-01 00:00:00

  • Validity of direct assessment of functional status as a tool for measuring Alzheimer's disease severity.

    abstract:OBJECTIVE:to assess the validity of the Direct Assessment of Functional Status (DAFS) performance-based functional scale for the staging of dementia severity by comparing it with established clinical, functional and cognitive scales. PATIENTS AND METHODS:93 consecutive Alzheimer's disease patients underwent DAFS. Soci...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Zanetti O,Frisoni GB,Rozzini L,Bianchetti A,Trabucchi M

    更新日期:1998-09-01 00:00:00

  • Missed diagnosis of pulmonary embolism with age-adjusted d-dimer cut-off value.

    abstract::Pulmonary embolism (PE) is a potentially severe diagnosis with high short-term mortality. Recently, age-adjusted cut-off values (age × 10 μg/l) of D-dimer were introduced to improve the diagnostic workup in older patients. In clinical practice, PE is considered 'ruled out' in patients with a non-high clinical probabil...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Stein CE,Keijsers CJ,Bootsma JE,Schouten HJ

    更新日期:2016-11-01 00:00:00

  • The problems of motor neurone disease.

    abstract::The course of Motor Neurone Disease (MND) is described in 22 patients in respect of the extent and duration of the disabilities. The average stay in hospital in the terminal phase in 20 patients followed to the time of their death was 6.6 months for men and 4.7 months for women. The total duration of the disease range...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Rosin AJ

    更新日期:1976-02-01 00:00:00

  • Betahistine hydrochloride (Serc) in cerebrovascular disease: a placebo-controlled study.

    abstract::A double-blind, placebo-controlled, clinical study was performed to assess the effects of oral betahistine hydrochloride (Serc) on mental impairment and physical disability in patients with established cerebrovascular disease. Fifty-three patients were admitted to the study during 18 months. Forty-five patients comple...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章


    authors: Pathy J,Menon G,Reynolds A,Van Strik R

    更新日期:1977-08-01 00:00:00

  • Is medication use by community-dwelling elderly people influenced by cognitive function?

    abstract::To determine whether medication use differs by cognitive status among community dwelling elderly, a survey was made of a stratified random sample of 4110 black and white participants, aged 65 or older from the Duke Established Populations for Epidemiologic Studies of the Elderly in five adjacent urban and rural counti...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Hanlon JT,Landerman LR,Wall WE Jr,Horner RD,Fillenbaum GG,Dawson DV,Schmader KE,Cohen HJ,Blazer DG

    更新日期:1996-05-01 00:00:00

  • Reappraising 'the good death' for populations in the age of ageing.

    abstract::This is the second in an occasional series of paired commentaries in Age and Ageing, the Journal of the British Geriatrics Society and the Journal of the American Geriatrics Society (JAGS). The aim is to address issues of current significance and to foster dialogue and increased understanding between academics and cli...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Pollock K,Seymour J

    更新日期:2018-05-01 00:00:00

  • Older people in accident and emergency departments.

    abstract::Older people attend accident and emergency departments more frequently than younger people. However, most assessments indicate that this higher level of use is appropriate and is the result of more serious injury and illness among this population. Older patients discharged from accident and emergency departments are f...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Burns E

    更新日期:2001-08-01 00:00:00

  • A population-based study of sensorimotor factors affecting gait in older people.

    abstract:BACKGROUND:the study of factors associated with age-related gait decline may assist in developing methods to preserve mobility in older people. OBJECTIVE:to examine the associations between sensorimotor factors relevant to ageing and gait in the general older population. DESIGN:cross-sectional population-based study....

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Callisaya ML,Blizzard L,Schmidt MD,McGinley JL,Lord SR,Srikanth VK

    更新日期:2009-05-01 00:00:00