Factors predicting mortality in emergency abdominal surgery in the elderly.

World Journal of Emergency Surgery : WJES
Naoto FukudaHiroyuki Mushiake

Abstract

This study aimed to investigate clinical features of abdominal emergency surgery in elderly patients, and to determine factors predicting mortality in these patients. The study population included 94 patients aged 80 years or older who underwent emergency surgery for acute abdominal diseases between 2000 and 2010. Thirty-six patients (38.3%) were male and fifty-eight patients (61.7%) were female (mean age, 85.6 years). Main outcome measures included background of the patient's physical condition (concomitant medical disease, and performance status), cause of disease, morbidity and mortality, and disease scoring system (APACHE II, and POSSUM). Prognostic factors affecting mortality of the patient were also evaluated by univariate analysis using Fisher's exact test and Mann-Whitney U-test, and by multivariate analysis using multiple logistic regression analysis. Of the 94 patients, 71 (75.5%) had a co-existing medical disease; most patients had hypertension (46.8%). The most frequent surgical indications were acute cholecystitis in 23 patients (24.5%), followed by intestinal obstruction in 18 patients (19.1%). Forty-one patients (43.6%) had complications during hospital stay; the most frequent were surgical site infection (SSI) ...Continue Reading

Associated Clinical Trials

Oct 28, 2016·Thepakorn Sathitkarnmanee

References

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Citations

Sep 12, 2013·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·A HeeneyK Mealy
Oct 29, 2015·Journal of the American Geriatrics Society·Talal F AliUNKNOWN Acute Care and Emergency Surgery ACES Group
Mar 4, 2014·The Journal of Surgical Research·Bellal JosephPeter Rhee
Nov 29, 2014·International Journal of Colorectal Disease·António GomesVitor Nunes
Dec 4, 2019·Medizinische Klinik, Intensivmedizin und Notfallmedizin·C J van BeekumT O Vilz
Aug 27, 2015·The Journal of Trauma and Acute Care Surgery·Erika L RangelJoseph S Hanna
May 24, 2014·The Journal of Trauma and Acute Care Surgery·Gajanthan MuthuvelGregory D Kennedy
Nov 12, 2016·Aging Clinical and Experimental Research·Carlo BoselliNicola Avenia
Jul 19, 2019·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Inés Eguaras CórdobaFrancisco Guillén Grima
Oct 31, 2019·Anesthesiology Research and Practice·Sirirat TribuddharatPavit Sappayanon
May 21, 2020·World Journal of Surgery·Mie S LiljendahlLau C Thygesen
Apr 10, 2020·Acta Anaesthesiologica Scandinavica·Elin K AakreIb Jammer
Nov 18, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Yuichi TakayamaMasahito Uji
May 17, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Arfon PowellWyn Lewis
Oct 27, 2020·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Hyung Jin LeeSanghyun Song
Jan 28, 2021·The Journal of Trauma and Acute Care Surgery·Matthew P GuttmanBarbara Haas
Oct 29, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Inés Eguaras CórdobaMagnolia Cardona
Feb 8, 2020·Journal of the American College of Surgeons·Robert D BecherKimberly A Davis
Apr 22, 2019·Journal of the American College of Surgeons·Robert D BecherKimberly A Davis
Apr 6, 2021·Aging Clinical and Experimental Research·Yu-San TeeChien-Hung Liao
Jul 13, 2021·The Journal of Trauma and Acute Care Surgery·Matthew P GuttmanBarbara Haas

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Methods Mentioned

BETA
lavage

Software Mentioned

POSSUM

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