DOI: https://doi.org/10.36347/sasjs.2025.v11i01.014

Pages: 67-72

1. Background: Perioperative care of geriatric patients requires a multidisciplinary approach that encompasses careful assessment, meticulous planning of perioperative care and management of complications and outcomes after major surgeries. Aim of the Study: The aim of this study was to evaluate the perioperative challenges and outcomes in geriatric patients undergoing major surgeries. Methods: This retrospective study was conducted in Department of Anesthesia, Anaelgesia and Intensive Medicine, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh, during the period from July 2022 to June 2023. Total 120 geriatric patients who underwent major surgeries were included in this study. Result: The mean age was 74.4 ± 12.6 years, with majority (39.17%) being in the age group of 70–74 years. Males comprised 64.17%, with a mean BMI of 25.7 ± 3.1 kg/m². ASA Class II and III were seen in 58.33% and 41.67%, respectively, with a mean Charlson Comorbidity Index of 4.3 ± 1.2, and 30% classified as frail. Majority (45.83%) of the participants had more than one comorbidity. Abdominal surgeries (40%) were most frequent, 66.67% received general anesthesia and 85.83% undergone elective procedures. The 30-day mortality rate was 8.33%, with complications like infections (16.67%) and myocardial infarctions (12.50%). Prolonged hospital stays occurred in 33.33%, averaging 6.4 ± 3.1 days. Predictors like age, frailty (OR 2.5), and emergency surgery (OR 3.4) were significantly associated with outcomes. Conclusion: The key findings of this study emphasize the critical impact of frailty, comorbidities, and surgical urgency on postoperative outcomes, including mortality, complications, and prolonged hospital stays.