Five-year survival after surgery in nonagenarian patients
| Autor: | Roberto Fariña-Castro, Cristina Roque-Castellano, Aurelio Rodríguez-Pérez, Joaquín Marchena-Gómez |
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| Rok vydání: | 2017 |
| Předmět: |
education.field_of_study
medicine.medical_specialty business.industry Population Postoperative complication Retrospective cohort study Perioperative 030230 surgery Surgery 03 medical and health sciences 0302 clinical medicine Cohort medicine 030212 general & internal medicine Elective surgery Elective Surgical Procedure education business Survival rate |
| Zdroj: | Geriatrics & Gerontology International. 17:2389-2395 |
| ISSN: | 1444-1586 |
| DOI: | 10.1111/ggi.13081 |
| Popis: | Aim In countries with longer life expectancies, the nonagenarian population is increasing. Therefore, there is greater demand for healthcare, including surgical procedures. The aim of the present study was to determine the outcomes of surgery carried out on nonagenarians in terms of long-term survival after the procedure. Methods We carried out a cross-longitudinal study on a cohort of 159 nonagenarian patients, who underwent a non-cardiac, non-traumatic surgical procedure in our institution between January 1999 and December 2011. The following variables were recorded: sociodemographic characteristics, American Society of Anesthesiologists score, Charlson Comorbidity Index, surgical site, postoperative complications, operative mortality and long-term survival. The output variable was long-term survival. Results Of the 159 patients,99 women (62%) and 60 men (38%), with a mean age of 91.8 years (SD ± 2.0 years), 44 cases were operations for malignant disorders (28%), 117 cases (74%) under emergency conditions and 42 cases (26%) were elective treatments. The operative mortality was 29%, 4.8% for elective surgery and 37.6% for emergency surgery (P |
| Databáze: | OpenAIRE |
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