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January 1965

Major Surgery in the Aged PatientA Continuation Study

Author Affiliations

From the Department of Surgery, Northwestern University Medical School and the Evanston Hospital Association. Chief Surgical Resident, Evanston Hospital (Dr. Bonus); Chairman, Department of Surgery, Evanston Hospital and Professor of Surgery, Northwestern University Medical School (Dr. Dorsey).

Arch Surg. 1965;90(1):95-96. doi:10.1001/archsurg.1965.01320070097021

SURGERY in the aged patient is rapidly becoming commonplace and with the continuing population pattern more people will live into the seventh and eighth decades and develop those conditions for which surgery is indicated. In a previous study2 from our hospital, we reported a three-year review (1957-1960) of major surgery performed on a group of patients 75 years old and older. This present paper is a continuation study which lends itself to comparison in many aspects.

In the period from April 30, 1960, to Dec 31, 1961, a total of 370 major surgical procedures were performed on patients whose minimum age was 75 years and whose average age was 82.6 years (previous series reported was 369 procedures). The Department of Anesthesiology at Evanston Hospital, composed of six anesthesiologists with a wide range of experience and competence, prefers general or spinal anesthesia even for poor-risk patients. There were 362 procedures

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