The correlation of risk factors with mortality of geriatric patients in non-operating room anesthesia services | [Anaesthesia, Pain and Intensive Care • 2024]

Author(s):

1. Aswoco Andyk Asmoro: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/ Dr. Saiful Anwar General Hospital,Malang,Indonesia

2. Isngadi: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/ Dr. Saiful Anwar General Hospital,Malang,Indonesia

3. Aulia Martyana Achsar: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/ Dr. Saiful Anwar General Hospital,Malang,Indonesia

4. Buyung Hartiyo Laksono: Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University/ Dr. Saiful Anwar General Hospital,Malang,Indonesia

Abstract:

Background & objective: One of the most frequently performed anesthesia services is Non-Operating Room Anesthesia (NORA). In geriatric patients, there are several risk factors which are directly or indirectly related to postNORA mortality. We aimed to find out the relationship between pre-NORA risk factors and the mortality of geriatric patients receiving NORA services. Methods: This observational analytical study used the convenient sampling method in seventy patients undergoing NORA. Data collected included pre-NORA risk factors; e.g., age, gender, Body Mass Index (BMI), quality of life, and cognitive function. Mortality within 30 days post-NORA was noted. The data was analyzed using an independent ttest and Spearman correlation with a= 5% and a confidence interval (CI) of 95%. Results: We included 70 patients as the subject of the study, with a mortality rate of 8.6%. There was a significant difference between BMI (P = 0.034), quality of life (P = 0.001), and cognitive function (P = 0.004) in patients who died with those who remained alive. There were correlations between cognitive function (P = 0.001, R= 0.379) and quality of life (P = 0.009, R= 0.309) with 30 days post-NORA mortality. Conclusion: There is a positive correlation between the risk factors of cognitive function and quality of life pre-NORA of geriatric patients with 30-day mortality post-NORA. Careful selection and maximum optimization of the geriatric patients selected for non-operating room anesthesia may reduce post-operative mortality.

Page(s): 459-464

DOI: 10.35975/apic.v28i3.2345

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 28, Issue: 3, Year: 2024

Keywords:

Quality of life , Mortality , Geriatrics , Cognitive function , Nonoperating room anesthesia

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