Details:

• Alternative Title:
  Laryngoscope
• Personal Author:
  Srinivasan, Yashes ; Briano, Juan ; Czaja, Sara ; Lachs, Mark S. ; Rosen, Anthony E. ; ... More +

  Srinivasan, Yashes ; Briano, Juan ; Czaja, Sara ; Lachs, Mark S. ; Rosen, Anthony E. ; Stewart, Michael G. ; Rameau, Anaïs Less -
• Description:
  Objective
  
  To describe types and outcomes of elective otolaryngological surgeries undergone by patients ≥ 90 years of age, and to assess whether very old age is an independent risk factor for postsurgical complications and death.
  
  Methods
  
  The National Surgical Quality Improvement Program, a validated national prospective surgical outcomes database, was used to identify all patients aged 65 years and older who underwent elective otolaryngological procedures from 2011 to 2020. Study outcomes included minor complications, major life-threatening complications, and 30-day mortality. Predictors of outcomes, including frailty, were identified using univariable analyses and age was added into the final logistic regression models with stepwise selection.
  
  Results
  
  A total of 40,723 patients met inclusion criteria; 629 (1.5%) patients were ≥ 90 years of age. Of the 63,389 procedures, head and neck (67.6%) and facial plastics and reconstructive (15.0%) procedures were most common. The overall incidence of major life-threatening complications, minor complications, and death was 2.0%, 3.5%, and 0.4%, respectively. Age ≥ 90 was significantly associated with an increased risk for 30-day mortality, but not with major or minor post-operative complications. A high modified frailty index was significantly associated with an increased risk for major post-operative complications and death amongst patients ≥ 90 years.
  
  Conclusions
  
  Elective otolaryngological surgery can be safe in relatively healthy nonagenarians and centenarians, though there is a small increased risk of 30-day mortality. While older age can predispose patients to other comorbidities, age alone should not deter surgeons and patients from considering elective otolaryngological procedures. Frailty may be a better predictor for surgical outcomes.
  
  
• Subjects:
  [+]

  Aged Aged, 80 And Over Age Factors Databases, Factual Elective Surgical Procedures Female Frailty Humans Male Otorhinolaryngologic Surgical Procedures Postoperative Complications Prospective Studies Quality Improvement Risk Factors United States
• Keywords:
  [+]

  Centenarian Nonagenarian NSQIP Otolaryngology Surgical Outcomes
• Source:
  Laryngoscope. 134(9):3989-3996
• Pubmed ID:
  38587164
• Pubmed Central ID:
  PMC11305954
• Document Type:
  Journal Article
• Funding:
  K76 AG079040/AG/NIA NIH HHSUnited States/ ; OT2 OD032720/OD/NIH HHSUnited States/ ; OT2 OD032720/CD/ODCDC CDC HHSUnited States/

  K76 AG079040/AG/NIA NIH HHSUnited States/ ; OT2 OD032720/OD/NIH HHSUnited States/ ; OT2 OD032720/CD/ODCDC CDC HHSUnited States/ Less -
• Volume:
  134
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:bceaadf60e8f8c8b91b9932c5d7ba1db004fdfda35acca1eabc0fa5c4eeb4419a260bcf7e4480f190d26aa2fb615b28064df61277e13e001218eb78302f00929
• File Type:

• Supporting Files:
  No Additional Files