The outcomes of the elderly in acute care general surgery.
Introduction: Elderly patients form a growing subset of the acute care surgery (ACS) population. Older age may be associated with poorer outcomes for some elective procedures, but there are few studies focusing on outcomes for the elderly ACS population. Our objective is to characterize differences...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 42; no. 1; pp. 107 - 114 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112926131&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112926131 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Feb2016 vid: 42 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 112926131 112926131 112926131 10.1007/s00068-015-0517-9 112926131 ppf: 107 ppct: 7 formats: fmt: @attributes: type: P tig: atl: The outcomes of the elderly in acute care general surgery. aug: au: St-Louis, E. Sudarshan, M. Al-Habboubi, M. El-Husseini Hassan, M. Deckelbaum, D. Razek, T. Feldman, L. Khwaja, K. affil: Division of General Surgery, Montreal General Hospital, 1650 Cedar Ave Montreal H3G 1A4 Canada sug: subj: Acute Care Methods Age Factors Surgery, Operative Human Aged, 80 and Over Retrospective Design Data Analysis Software Intensive Care Units Emergencies Fisher's Exact Test Confidence Intervals Chi Square Test Logistic Regression Appendectomy Cholecystectomy Intestines Surgery Male Female Aged, 80 & over Male Female ab: Introduction: Elderly patients form a growing subset of the acute care surgery (ACS) population. Older age may be associated with poorer outcomes for some elective procedures, but there are few studies focusing on outcomes for the elderly ACS population. Our objective is to characterize differences in mortality and morbidity for acute care surgery patients >80 years old. Methods: A retrospective review of all ACS admissions at a large teaching hospital over 1 year was conducted. Patients were classified into non-elderly (<80 years old) and elderly (≥80 years old). In addition to demographic differences, outcomes including care efficiency, mortality, postoperative complications, and length of stay were studied. Data analysis was completed with the Student's t test for continuous variables and Fisher's exact test for categorical variables using STATA 12 (College Station, TX, USA). Results: We identified 467 non-elderly and 60 elderly patients with a mean age-adjusted Charlson score of 3.2 and 7.2, respectively ( p < 0.001) and a mortality risk of 1.9 and 11.7 %, respectively ( p < 0.001). The elderly were at risk of longer duration (>4 days) hospital stay ( p = 0.05), increased postoperative complications ( p = 0.002), admission to the ICU ( p = 0.002), and were more likely to receive a non-operative procedure ( p = 0.003). No difference was found ( p = NS) for patient flow factors such as time to consult general surgery, time to see consult by general surgery, and time to operative management and disposition. Conclusions: Compared to younger patients admitted to an acute care surgery service, patients over 80 years old have a higher risk of complications, are more likely to require ICU admission, and stay longer in the hospital. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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