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Research Paper | Medical Surgical | India | Volume 9 Issue 1, January 2020 | Popularity: 7.1 / 10

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Clinical Profile and Post Operative Outcome of Geriatric Patients: A Descriptive Study

Dr Amaresh Chandra Nayak, Dr Biju K Varghese

Abstract: Introduction: Longevity has increased during this century so that survival beyond age 60 has become common in India. With this, geriatric associated problems and surgeries are on the rise. Doctors and hospitals are caring for a substantial and rapidly growing number of elderly patients. Decision-making about surgery for elderly patients is complicated and difficult. Limited information is available regarding surgical outcomes for patients in age group more than 60 years in Indian subcontinent. Due to ethnicity, work culture and socio demographic variables, accurate risk prediction and surgical outcome in Indian geriatric population is not well understood. Aim: Clinical profile and postoperative outcome of geriatric patients in a general surgery unit of a tertiary care hospital. Objective: 1. To study the clinical profile and clinico-pathological spectrum of comorbid conditions and potential risk factors in the geriatric general surgical patient at a tertiary care centre.2. To assess the surgical outcome in geriatric patients Result In this study, highest number of patients (60 %) were in the 60-69 years age group and the second highest (22 %) in 70-79 years category. In total, patients ranging from 60 years to 89 years comprised 92 % of the study population. This finding is consistent with the fact that mean life expectency in india in 67.4 years. This finding again is consistent with the worldwide trend, where in mean life expectency is 71 year. The gender distribution of the cases were male 71 % and female 29 % of cases. The frequency of Co morbidites occuring in this study is Primarily consist of Diabetes 22 % and Hypertension 39 %. Also Smoking and alcohol play a pivotal role in the form of 20 % and 41 % of the assessed population. As per ASA Criteria 34 % of patient fit to ASA I, 46 % to ASA II, 10 % to ASA III, 06 % to ASA IV and 4 % to ASA V. After applaying multivariate logistic regression analysis Multivariate logistic regression analysis revealed ASA classes II, III, IV and V compared to ASA class I, to be a significant, independent risk factor for complications, post op Morbidity and Mortality. In No Morbidity group (ASA class IV: odds ratio [OR] = 3.58, , P =.04; ASA class V: OR = 3.41, P =

Keywords: Geriatric Patient, Surgical Outcome, Indian Geriatric, Surgery in Elderly

Edition: Volume 9 Issue 1, January 2020

Pages: 464 - 472

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