Post-surgical complications in elderly patients: integrative literature review
DOI:
https://doi.org/10.33448/rsd-v11i12.34663Keywords:
Postoperative complications; Perioperative assistance; Patient care; Elderly health.Abstract
Objective: The objective of this study is to identify and analyze the scientific productions in the world literature on postoperative complications in elderly patients. Method: This is an integrative literature review whose data search was performed in different databases using the descriptors "Health of the Elderly", "Perioperative Care", "Postoperative Complications", "Patient Care" in the databases Electronic: Medical Literature Analysis and Retrieval System Online (MEDLINE) and Latin American and Caribbean Literature in Health Sciences (LILACS) via the Virtual Health Library (BVS). Scientific Electronic Library Online (SciELO), Web of Science (WOS), Cinahl and Scopus via CAPES Journal Portal and Cochrane Library. Results and Discussion: A total of 938 studies were identified in these databases. With 163 in Medline, 86 in LILACS, 73 in SciELO, 296 in the Scopus database, 208 in the Web of Science, 54 in the Cochrane Library and 58 in the CINAHL, after exclusion criteria, the final sample was 13 articles. Complications were observed in several surgical specialties, with the fragility in the health of the elderly being a potential for complications and increased hospital stay. Conclusion: The “age” factor predisposes to perioperative complications. Complications were observed in several surgical specialties, with the fragility in the health of the elderly being the potential for complications and increased hospital stay. Invasive and long-term procedures are increasingly being performed in the elderly. Anesthesia control and surveillance and hospital protocols are very useful in this phase.
References
Alberga, A. J., Karthaus, E. G., Wilschut, J. A., de Bruin, J. L., Akkersdijk, G. P., Geelkerken, R. H., Hamming, J. F., Wever, J. J., & Verhagen, H. J. M. (2022). Treatment Outcome Trends for Non-Ruptured Abdominal Aortic Aneurysms: A Nationwide Prospective Cohort Study. Eur J Vasc Endovasc Surg, 63(2), 275–283. https://doi.org/10.1016/j.ejvs.2021.08.019
Bartley, A., Scali, S. T., Patterson, S., Rosenthal, M. D., Croft, C., Arnaoutakis, D. J., Cooper, M. A., Upchurch, G. R., Back, M. R., & Huber, T. S. (2022). Improved perioperative mortality after secondary aortoenteric fistula repair and lessons learned from a 20-year experience. J Vasc Surg, 75(1), 287-295.e3. https://doi.org/10.1016/j.jvs.2021.07.107
Brasil. Ministério da Saúde. Secretaria de Ciência Inovação e Insumos Estratégicos em Saúde. Coordenação de Monitoramento e Avaliação de Tecnologias em Saúde, T. (2021). Pregabalina para o tratamento de dor neuropática e fibromialgia TT - Pregabalin for Pain Treatment neuropathic and fibromyalgia. https://fi-admin.bvsalud.org/document/view/wrwe6
Brasil Ministério da Saúde/Secretaria de Vigilância em Saúde ¬ MS/SVS. (2021). Óbitos: Sistema de Informações sobre Mortalidade - SIM:
Chung, J. C., Lodewyks, C. L., Forbes, T. L., Chu, M. W. A., Peterson, M. D., Arora, R. C., & Ouzounian, M. (2022). Prevention and management of spinal cord ischemia following aortic surgery: A survey of contemporary practice. J Thorac Cardiovasc Surg, 163(1), 16-23.e7. https://doi.org/10.1016/j.jtcvs.2020.03.034
Cooter Wright, M., Bunning, T., Eleswarpu, S. S., Heflin, M. T., McDonald, S. R., Lagoo-Deenadalayan, S., Whitson, H. E., Martinez-Camblor, P., Deiner, S. G., & Berger, M. (2022). A Processed Electroencephalogram-Based Brain Anesthetic Resistance Index Is Associated With Postoperative Delirium in Older Adults: A Dual Center Study. Anesth Analg, 134(1), 149–158. https://doi.org/10.1213/ANE.0000000000005660
de Stefano, F., Haddad, H., Mayo, T., Nouman, M., & Fiani, B. (2022). Outcomes of anterior vs. posterior approach to single-level lumbar spinal fusion with interbody device: An analysis of the nationwide inpatient sample. Clin Neurol Neurosurg, 212, 107061. https://doi.org/10.1016/j.clineuro.2021.107061
Eleshra, A., Hatm, M., Spanos, K., Panuccio, G., Rohlffs, F., Debus, E. S., Behrendt, C.-A., Tsilimparis, N., & Kölbel, T. (2022). Early outcomes of t-Branch off-the-shelf multibranched stent graft in urgent and emergent repair of thoracoabdominal aortic aneurysms. J Vasc Surg, 75(2), 416-424.e2. https://doi.org/10.1016/j.jvs.2021.07.237
Foreman, T., Bitar, A., Smith, J. B., Vogel, T. R., & Bath, J. (2022). Outcomes of Endovascular Aneurysm Repair with Adjunctive Stenting. Ann Vasc Surg, 80, 293–301. https://doi.org/10.1016/j.avsg.2021.08.029
Geiger, J. T., Fleming, F. J., Stoner, M., & Doyle, A. (2022). Surgeon volume and established hospital perioperative mortality rate together predict for superior outcomes after open abdominal aortic aneurysm repair. J Vasc Surg, 75(2), 504-513.e3. https://doi.org/10.1016/j.jvs.2021.08.077
Goel, N. J., Iyengar, A., Kelly, J. J., Han, J. J., Brown, C. R., & Desai, N. D. (2022). Volume of frail patients predicts outcome in frail patients after cardiac surgery. J Thorac Cardiovasc Surg, 163(1), 151-160.e6. https://doi.org/10.1016/j.jtcvs.2020.04.097
Hause, S., Schönefuß, R., Assmann, A., Neumann, J., Meyer, F., Tautenhahn, J., Schreiber, S., Heinze, H.-J., Halloul, Z., & Goertler, M. (2022). Editor’s Choice - Relevance of Infarct Size, Timing of Surgery, and Peri-operative Management for Non-ischaemic Cerebral Complications After Carotid Endarterectomy. Eur J Vasc Endovasc Surg, 63(2), 268–274. https://doi.org/10.1016/j.ejvs.2021.09.044
Ilonzo, N., Lee, J., James, C., Phair, J., Ting, W., Faries, P., & Vouyouka, A. (2022). Sex-based differences in loss of independence after lower extremity bypass surgery. Am J Surg, 223(1), 170–175. https://doi.org/10.1016/j.amjsurg.2021.07.022
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). (2019). Estimativa 2020: Incidência de câncer no Brasil. https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Kuppusamy, M. K., & Low, D. E. (2022). Evaluation of International Contemporary Operative Outcomes and Management Trends Associated With Esophagectomy: A 4-Year Study of >6000 Patients Using ECCG Definitions and the Online Esodata Database. Ann Surg, 275(3), 515–525. https://doi.org/10.1097/SLA.0000000000004309
Laukkavirta, M., Blomgren, K., Väärämäki, S., Nikulainen, V., & Helmiö, P. (2022). Compensated Patient Injuries in the Treatment of Abdominal Aortic and Iliac Artery Aneurysms in Finland: A Nationwide Patient Insurance Registry Study. Ann Vasc Surg, 80, 283–292. https://doi.org/10.1016/j.avsg.2021.08.055
Mohseni, S., Joseph, B., & Peden, C. J. (2022). Mitigating the stress response to improve outcomes for older patients undergoing emergency surgery with the addition of beta-adrenergic blockade. Eur J Trauma Emerg Surg, 48(2), 799–810. https://doi.org/10.1007/s00068-021-01647-7
Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … McKenzie, J. E. (2021). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ, n160. https://doi.org/10.1136/bmj.n160
Pereira, D. S., Nogueira, J. A. D., & Silva, C. A. B. da. (2015). Quality of life and the health status of elderly persons: a population-based study in the central sertão of Ceará. Revista Brasileira de Geriatria e Gerontologia, 18(4), 893–908. https://doi.org/10.1590/1809-9823.2015.14123
Shenhar, C., Veredgorn, Y., Bulis, S., Aviv, T., Darawsha, A. E., Gilad, R., Baniel, J., Ehrlich, Y., & Lifshitz, D. (2022). Endoscopic Management of Low-Grade Upper Tract Urothelial Carcinoma: Characterizing the Long-term Burden of Care in Comparison to Radical Nephroureterectomy. Urology, 159, 152–159. https://doi.org/10.1016/j.urology.2021.06.053
Silva, R. R. da, & Silva, L. A. da. (2021). Psychosocial load and burnout syndrome in healthcare professionals in the fight against COVID-19 pandemic / Carga psicossocial e síndrome de burnout em profissionais de saúde no combate a pandemia de COVID-19. Revista de Pesquisa Cuidado é Fundamental Online, 13, 1640–1646. https://doi.org/10.9789/2175-5361.rpcfo.v13.11097
Silva, R. R. da, Silva, L. A. da, Silva, M. V. G. da, Araujo, M. S., Neves, M. P. das, Souza, M. V. L. de, Oliveira, E. S. de, Silva Junior, M. D. da, & Ribeiro, M. B. (2022). Transtornos neurocognitivos e demência relacionados ao HIV em pessoas que fazem uso de antirretroviral: uma revisão integrativa. Research, Society and Development, 11(2), 47311226039. https://doi.org/10.33448/rsd-v11i2.26039
Tonelli, C. M., Lorenzo, I., Bunn, C., Kulshrestha, S., Agnew, S. P., Abdelsattar, Z. M., Luchette, F. A., & Baker, M. S. (2022). Does resident autonomy in colectomy procedures result in inferior clinical outcomes? Surgery, 171(3), 598–606. https://doi.org/10.1016/j.surg.2021.09.036
Toraih, E., Hussein, M., Trinh, L. N., Zerfaoui, M., & Kandil, E. (2022). What happens to patients undergoing cancer surgery with psychiatric comorbidities?: A nationwide retrospective cohort study. J Surg Oncol, 125(3), 535–543. https://doi.org/10.1002/jso.26716
Tran, Z., Madrigal, J., Pan, C., Rahimtoola, R., Verma, A., Gandjian, M., Tillou, A., & Benharash, P. (2022). Impact of opioid use disorder on resource utilization and readmissions after operative trauma. Surgery, 171(2), 541–548. https://doi.org/10.1016/j.surg.2021.06.025
Who. (2021). World Health Organization. Library Cataloguing-in-Publication Data 2021. https://apps.who.int/iris/bitstream/handle/10665/199544/?sequence=1
Zietlow, K. E., Wong, S., Heflin, M. T., McDonald, S. R., Sickeler, R., Devinney, M., Blitz, J., Lagoo-Deenadayalan, S., & Berger, M. (2022). Geriatric Preoperative Optimization: A Review. Am J Med, 135(1), 39–48. https://doi.org/10.1016/j.amjmed.2021.07.028
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Amanda Ferreira de Barros; Joana Francisca Serrão Pena; Maria Virginia Godoy da Silva; Leandro Andrade da Silva; Eva de Fatima Rodrigues Paulino; Carlos Eduardo Peres Sampaio; Roni Robson da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
