CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chung, F.
Right arrow Articles by Tong, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chung, F.
Right arrow Articles by Tong, D.

Canadian Journal of Anesthesia, Vol 46, 309-321, Copyright © 1999 by Canadian Anesthesiologists' Society

ARTICLES

Adverse events in ambulatory surgery. A comparison between elderly and younger patients

F Chung, G Mezei and D Tong
Department of Anaesthesia, Toronto Western Hospital, University of Toronto, Ontario, Canada. fchung@torhosp.toronto.on.ca

PURPOSE: An increasing number of elderly patients are undergoing ambulatory surgery. We examined whether ambulatory surgery carries a higher risk for the elderly than for younger patients. METHODS: A total of 17,638 consecutive ambulatory surgical patients were enrolled in a prospective cohort study during a three-year period. Preoperative, intraoperative, and postoperative information was collected. Twenty-seven percent of the enrolled patients were 65 yr or older. Incidence rates of intraoperative and postoperative adverse events among the elderly were compared with those among younger patients; we controlled for sex, ASA physical status, body mass index, type of surgery, and duration of procedure, using multiple logistic regression models. RESULTS: Elderly patients had a higher incidence of any intraoperative event (adjusted odds ratio, 1.4; 99.7% confidence interval [CI], 1.0-2.0) and of intraoperative cardiovascular events (adjusted odds ratio, 2.0; 99.7% CI, 1.3-3.0). They also had a lower incidence of any postoperative event (adjusted odds ratio, 0.4; 99.7% CI, 0.3-0.6) and of postoperative pain (adjusted odds ratio, 0.2; 99.7% CI, 0.1-0.4), nausea and vomiting (adjusted odds ratio, 0.3; 99.7% CI, 0.1-0.6), and dizziness (adjusted odds ratio, 0.4; 99.7% CI, 0.2-1.0). CONCLUSION: The risks reported do not constitute a contraindication for elderly patients to undergo ambulatory surgery but this population may require more careful intraoperative cardiovascular management.


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
K. Mattila, J. Toivonen, L. Janhunen, P. H. Rosenberg, and M. Hynynen
Postdischarge Symptoms After Ambulatory Surgery: First-Week Incidence, Intensity, and Risk Factors
Anesth. Analg., December 1, 2005; 101(6): 1643 - 1650.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
D. A.E. Shephard
The changing pattern of anesthesia, 1954-2004: a review based on the content of the Canadian Journal of Anesthesia in its first half-century: [La transformation du modele de l'anesthesie, 1954-2004 : une revue fondee sur le contenu du premier demi-siecle du Journal canadien d'anesthesie]
Can J Anesth, March 1, 2005; 52(3): 238 - 248.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
B. McGrath, H. Elgendy, F. Chung, D. Kamming, B. Curti, and S. King
Thirty percent of patients have moderate to severe pain 24 hr after ambulatory surgery: a survey of 5,703 patients: [Trente pour cent des patients ont des douleurs moderees a severes, 24 h apres la chirurgie ambulatoire : une enquete aupres de 5 703 patients]
Can J Anesth, November 1, 2004; 51(9): 886 - 891.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
G. L. Bryson, F. Chung, B. A. Finegan, Z. Friedman, D. R. Miller, J. van Vlymen, R. G. Cox, M.-J. Crowe, J. Fuller, C. Henderson, et al.
Patient selection in ambulatory anesthesia - An evidence-based review: part I: [La selection des patients en anesthesie ambulatoire - Une revue factuelle : partie I]
Can J Anesth, October 1, 2004; 51(8): 768 - 781.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
Z. Friedman, F. Chung, and D. T. Wong
Ambulatory surgery adult patient selection criteria - a survey of Canadian anesthesiologists: [La selection des patients adultes en chirurgie ambulatoire - enquete aupres des anesthesiologistes]
Can J Anesth, May 1, 2004; 51(5): 437 - 443.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
S. Shaikh, F. Chung, C. Imarengiaye, D. Yung, and M. Bernstein
Pain, nausea, vomiting and ocular complications delay discharge following ambulatory microdiscectomy: [La douleur, les nausees, les vomissements et les complications oculaires retardent le depart apres une microdiscoidectomie ambulatoire]
Can J Anesth, May 1, 2003; 50(5): 514 - 518.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
P. P. Higgins, F. Chung, and G. Mezei
Postoperative sore throat after ambulatory surgery
Br. J. Anaesth., April 1, 2002; 88(4): 582 - 584.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
L. M. Collins, J. Padda, and H. Vaghadia
Mini-audits facilitate quality assurance in outpatient units : [Des mini-audits contribuent a l'assurance qualite en consultation externe]
Can J Anesth, September 1, 2001; 48(8): 737 - 741.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by the Canadian Anesthesiologists' Society.