Table 1 Determination of surgical risk (minor or major) in the elderly. (Adapted from Eagle [19])
Usual classification | Type of surgery | Adapted classification in elderly patients |
|---|---|---|
Low Risk | Wall surgery without opening the peritoneal cavity | Low Risk |
Abscess drainage | ||
Endoscopies | ||
Proctology | ||
Plastic surgery | ||
Ophthalmic surgery | ||
Intermediate Risk | Intraperitoneal surgery | Major Risk |
Laparoscopic surgery | ||
Endarterectomy | ||
Ear, nose and throat (ENT) surgery | ||
Prostate surgery | ||
Orthopedic surgery | ||
Intermediate risk in elderly (>70 years old) | ||
Major Risk | Intermediate surgery performed in emergency | |
Unstable hemodynamic conditions | ||
Vascular surgery (aortic and peripheral) and thoracic surgery | ||
Prolonged surgery (>4 h) with high fluid displacement or major bleeding |