The Abandonment Syndrome as a Determinant in the Surgical Denouement in Elderly Population in Mexico City

Research Article

Gerontol Geriatr Res. 2021; 7(3): 1057.

The Abandonment Syndrome as a Determinant in the Surgical Denouement in Elderly Population in Mexico City

Coronado-Moreno Edson A¹, Álvarez-Licona Nelson E¹, Snowball-Del Pilar Lenin¹, Chapa-Azuela Oscar², Almontes-Dorantes Alan E², Carrillo-Ruiz José D³ and Rivera-Sánchez José de Jesús²*

1Superior School of Medicine, National Polytechnic Institute, Mexico

2Departament of Research, México General Hospital “Dr. Eduardo Liceaga”, Mexico

3Faculty of Health Sciences, Anáhuac Univesity, Mexico

*Corresponding author: Rivera-Sánchez José de Jesús, Departament of Research, México General Hospital “Dr. Eduardo Liceaga”, Dr. Balmis 148, Doctores, Cuauhtémoc, 06720, Mexico

Received: May 16, 2021; Accepted: June 10, 2021; Published: June 17, 2021


The demographic aging in Mexico is turning into one of the main concerns in the country; this raises the hospital admissions in different levels of medical care. The increase of surgical procedures causes high rates of morbidity and mortality in this population, nowadays, there are multiple instruments used for evaluating the surgical risk and mortality, however, the negative denouements still happen, this can be attributed to the existence of other variables which are not considered such as social kind and the ones which influences in the denouements of hospitalized patients.

Objectives: The present study proposes to perform a socio-family assessment in elderly people as a non-considered variable in the pre-surgical and post-surgical evaluation through OARS (Older American and Resource Socials) scale; the evaluation of surgical denouements was recorded with the Dindo-Clavien scale.

Methods: Total population was composed for 67 patients, 50.7% male and 49.3% female; mean age of 73.61 years. Results: Statistical analysis showed a p=0.012 in the xi² test and an r=0.67 in the Pearson correlation of OARS/ Dindo-Clavien.

Conclusion: In conclusion, this study pretends to beef up the idea that social assessment in elderly population has an important transcendence in surgical denouements and is worthy of a deep development.

Keywords: Hospital/ambulatory care; Longevity; Long-term Care; Social Media/Networks; Social roles & Social Factors


Surgical procedures in older adult patients are becoming more frequent. They are characterized by having higher morbidity and mortality than those performed in younger patients, which is why an appropriate preoperative evaluation, careful intraoperative monitoring and adequate management of the postoperative period are essential. Age leads to a series of physiological changes and a higher incidence of chronic diseases, which together determine a decrease in physiological reserves and functional capacity. In the preoperative evaluation, an exhaustive assessment of comorbidities and commonly used drugs, the possible “frailty” of these patients in the face of the surgical process and their risk of developing postoperative cognitive deficit are important.

The type of surgery and its urgency, with general conditions of the patient and the characteristics of the center care, are the main factors to consider when choosing the type of anesthesia. A frequent problem in the postoperative period is the development of delirium and cognitive deterioration, where efforts should be directed towards its prevention, as well as treatment since they considerably increase perioperative morbidity and mortality. About 80% of older people have at least one chronic disease, and 50% two. The average is 2.8 illness or non-communicable diseases in people between 65 and 74 years old, reaching 3.23 in people older than 75 years. These chronic pathologies are largely responsible for limitations in activity and disability. In people older than 85 years, hospital admissions are 10 times higher than in the ages between 15 and 34. In the same way, the mean stay of each admission increases in groups of elderly people [1].

In Mexico, the increase in life expectancy has caused most of the deaths to occur in advanced ages, of the 656 thousand deaths [2], 64.7% corresponded to people aged 60 and over. Noting that diseases of the circulatory system (32.5%); endocrine, nutritional and metabolic diseases (20.1%); tumors (13.1%); diseases of the respiratory system (10.7%), and diseases of the digestive system (9.1%) are the main causes of death among the population aged 60 and over (Figure 1). Together they represent 85.5% of deaths in this age group [2]. The World Health Organization has estimated that noncommunicable diseases (Diabetes, cardiovascular diseases, mental disorders, etc.) will constitute the main source of disability in 2020, so this situation conditions a greater need for caregivers, who assist in providing an improvement in the quality of life of these people.

Citation: Coronado-Moreno Edson A, Álvarez-Licona Nelson E, Pilar Lenin S-D, Oscar C-A, Almontes-Dorantes Alan E, Carrillo-Ruiz José D, et al. The Abandonment Syndrome as a Determinant in the Surgical Denouement in Elderly Population in Mexico City. Gerontol Geriatr Res. 2021; 7(3): 1057.