Influence of the immunologic presurgical state in elderly patients in the elective big surgery

Authors

  • Luis Ernesto Quiroga Meriño Hospital Militar de camaguey Octavio de la concepcion y la pedraja
  • Yarima Estrada Brizuela
  • Liuba Peña Galván
  • Pedro Julio García Álvarez

Keywords:

MORBIMORTALIDAD, INMUNODEFICIENCIA, ADULTO MAYOR, CIRUGÍA ELECTIVA.

Abstract

Background: with the increase of age, immunologic changes that influence in a negative way in the result of surgery, which is an effect that has been increased with the rise of the life expectancy in Cuba.
Objective: to determine the effect of the presurgical immunity in the result of the big elective surgery in elderly patients.
Methods: a prospective, longitudinal, analytic study was conducted. The universe was compound of 198 adults who underwent elective surgery. The non-probabilistic sample was composed of 153 patients that went through big elective surgery in "Octavio of the Concepción and the Pedraja” hospital in Camagüey. The information obtained from interviews with the patients and revision of the medical record and anesthetic report were gathered in a form created due to the research.
Results: the immunologic state was normal in most of the patients, surgical mortality increased in those patients with immunodeficiency both humoral and cellular. Female sex prevailed with arterial hypertension and low weight, all evaluated of ASA III, who underwent surgery due to inguinal hernias. Complications increased significantly in patients with immunodeficiency.
Conclusions: the immunologic state was normal in most of the patients; surgical mortality increased in those patients with immunodeficiency both humoral and cellular. Surgical mortality occurred in younger age groups in patients with poor presurgical immunity. Female patients prevailed, as well as arterial hypertension and low weight. Low weight was associated with surgical mortality in patients with immunology problems. Most of them were evaluated of ASA III, even though mortality was associated with ASA IV in both groups of patients. The association was bigger in the group that presented poor immunity. Complications increased in the patients with immunodeficiency, in which infections, xeroma and anemia were more frequent.
DeCS: IMMUNITY; INDICATORS OF MORBIDITY AND MORTALITY; SURGICAL PROCEDURES, OPERATIVE; AGED; LONGITUDINAL STUDIES.

Downloads

Download data is not yet available.

Downloads

Published

2016-12-08

How to Cite

1.
Quiroga Meriño LE, Estrada Brizuela Y, Peña Galván L, García Álvarez PJ. Influence of the immunologic presurgical state in elderly patients in the elective big surgery. Arch méd Camagüey [Internet]. 2016 Dec. 8 [cited 2025 Nov. 17];20(6):648-59. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4628

Issue

Vol. 20 No. 6 (2016)

Section

Original Articles

License

Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.

Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.

(Download Statement of potential conflicts of interest)

The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).

This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/