Age

Physicians, especially surgeons, to provide meaningful information to patients continue to look for risk factors associated with complications and death. Everyone has a story of successfully operating on a 90-year-old, “but there were a ‘good’ 90-year-old.” As the population ages, defining a ‘good 90-year-old’ becomes more critical. A meta-analysis in BMC Medicine suggests, age is too coarse a measure, but dimensions of cognitive and physical impairment are more predictive.

The authors used a literature review of English language articles on risk factors and subsequent complications, deaths, loss of functional abilities and post-discharge care identifying 44 studies involving 12,281 patients...