Surgeons can use tools to objectively stratify patients by risk. Specifically, the American College of Surgery National Surgical Quality Improvement Program (ACS NSQIP) has a risk calculator that predicts which patients will suffer complications or even mortality. Most studies agree, however, that age alone is not a prognosticator for outcomes, because not all elderly patients have a similar functional status. Instead, frailty is a better predictor of surgical outcome. Frailty, which can also be measured using the ACS NSQIP calculator, is a state of reduced physiologic reserve associated with increased susceptibility to disability.
Dr. Rich then presented his data (not yet published) on the prediction of mortality and morbidity in head and neck patients 80 years and older. The study included 219 patients who underwent 241 procedures. The patients had a mean age of 85 years, and 60% of them were male. Dr. Rich and colleagues found that, at 30 days post-surgery, one-third of the patients had serious complications, and approximately 75% of the patients had at least one complication. The 90-day mortality in the cohort was 10%. | ← Previous | | | Next → | Single Page