Key result
Routine pre-operative chest X-rays in elderly surgical patients revealed abnormalities in 57.5% of cases, with 40.3% being clinically significant, though ineffective for predicting complications.
Why the study?
Does routine pre-operative chest X-ray predict postoperative complications or alter management in elderly general surgical patients?
Population
233 unselected patients aged 65 years and over undergoing elective or emergency non-cardiopulmonary surgery…
Design
Cohort
Follow-up
Postoperative period
Authors
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Does not support routine pre-op CXR for predicting complications in elderly surgical patients; leaves open value as baseline or for unsuspected disease.
Observational (n=233)
Does routine pre-operative chest X-ray predict postoperative complications or alter management in elderly general surgical patients?
Routine pre-operative chest X-rays in elderly surgical patients are valuable as a baseline and for detecting unsuspected disease, but are ineffective for predicting postoperative respiratory or cardiac complications.
Seymour et al. (1982) conducted an observational in Elderly patients undergoing non-cardiopulmonary surgery (n=233). Routine pre-operative chest X-ray was evaluated on Abnormality on routine pre-operative chest X-ray. Routine pre-operative chest X-rays in elderly surgical patients revealed abnormalities in 57.5% of cases, with 40.3% being clinically significant, though ineffective for predicting complications.
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