Octogenarians: an increasing challenge for acute care and colorectal surgeons. An outcomes analysis of emergency colorectal surgery in the elderly

Autor:	F. La Torre, F. Romagnoli, Marco Catani, Claudio Modini, R. De Milito, R. Petroni, Valentina Romeo
Rok vydání:	2012
Předmět:	medicine.medical_specialty Resuscitation business.industry Mortality rate Gastroenterology Emergency department medicine.disease Logistic regression Comorbidity Colorectal surgery Surgery Internal medicine Acute care Anesthesiology medicine business
Zdroj:	Colorectal Disease. 14:e312-e318
ISSN:	1462-8910
DOI:	10.1111/j.1463-1318.2012.02934.x
Popis:	Aim Emergency surgery is associated with higher mortality rates, especially in elderly patients presenting with emergent colorectal disease. The aim of this study was to determine the outcomes in elderly patients following emergency colorectal resection, with particular focus on octogenarians who presented a sixfold higher mortality rate with respect to other patients. Method This study examined 355 patients who underwent surgery at an Emergency Department for complications of colorectal disease between January 2007 and December 2009. Morbidity and mortality were analyzed on the basis of patients’ characteristics and presentation. Univariate and logistic regression analyses were performed on morbidity and mortality risk factors. Results Two-hundred and fifteen patients of > 65 years of age were included, 93 of whom were ≥ 80 years of age. The global mortality rate was 16%. In patients ≥ 80 years of age the mortality rate was 30%. The difference in mortality rate between patients
Databáze:	OpenAIRE
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