Factors associated with morbidity and in-hospital mortality after surgery beyond the age of 90: Comparison with outcome results of younger patients matched for treatment - 06/12/18
, Holger Staab, Ines Gockel, Matthias MehdornAbstract |
Background |
Surgical outcome to extremes of age is understudied. The purpose of this study was to evaluate the patient characteristics and incidence of postoperative morbidity and in-hospital mortality among patients aged 90 years and older who underwent surgery in comparison to younger controls.
Methods |
Patients aged 90 years or older (n = 80; mean age, 92.36 ± 2.37) were matched for surgical treatment with patients aged 79 years or younger (n = 80; mean age, 55.98 ± 15.95) taken from the same cohort.
Results |
The overall morbidity and mortality rates were 57.5% and 31.3% in the elderly vs. 47.5% and 23.1% in the younger group respectively. Patient groups aged 90 years or older and 79 years or younger each had 4 and 6 predictive factors for morbidity and 10 and 9 predictive factors for mortality respectively.
Conclusion |
while advanced age carries an increased risk of morbidity and mortality, it seems that age in itself is no barrier to surgery. Despite the comparably high prevalence of chronic disease, elderly patients in this study fared quite well.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Surgical outcome to extremes of age is understudied. |
• | Differences in the outcome of older and younger patients tend to be attributable to age itself, and comorbid conditions. |
• | Almost 70% of our patients aged 90 years or older who had surgery recovered and left hospital alive. |
• | Despite the comparably high prevalence of chronic disease, elderly patients in this study fared quite well. |
Keywords : Surgery, Elderly patients, Morbidity, Mortality
Plan
Vol 216 - N° 6
P. 1063-1069 - décembre 2018 Retour au numéro
Article précédent
- FRIEND or FOE: A prospective evaluation of risk factors for reintubation in surgical and trauma patients
- Christopher P. Michetti, Margaret M. Griffen, Erik J. Teicher, Jennifer L. Rodriguez, Hani Seoudi, Chang Liu, Elena Lita, Anna Newcomb
- Prospective evaluation of frailty and functional independence in older adult trauma patients
- Mohammad Hamidi, Muhammad Zeeshan, Terence O'Keeffe, Bryn Nisbet, Ashley Northcutt, Janko Nikolich-Zugich, Muhammad Khan, Narong Kulvatunyou, Mindy Fain, Bellal Joseph
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?