Emergency surgery and American Society of Anesthesiologists physical status score are the most influential risk factors of death in nonagenarian surgical patients
| Autor: | Cristina Roque-Castellano, Manuel Artiles-Armas, Joaquín Marchena-Gómez, Roberto Fariña-Castro |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Population ageing medicine.medical_specialty Blood transfusion medicine.medical_treatment Risk Assessment 03 medical and health sciences 0302 clinical medicine Postoperative Complications Emergency surgery 030502 gerontology Anesthesiology Risk Factors Internal medicine Medicine Humans Perioperative Period Emergency Treatment Geriatric Assessment Retrospective Studies Aged 80 and over business.industry Operative mortality General Medicine Perioperative Health Status Disparities Research Design Spain Surgical Procedures Operative Cohort Female 0305 other medical science business 030217 neurology & neurosurgery American society of anesthesiologists Surgical patients |
| Zdroj: | Geriatricsgerontology international. 19(4) |
| ISSN: | 1447-0594 |
| Popis: | AIM The number of nonagenarians undergoing surgery has increased considerably in recent decades as a result of population aging. Greater knowledge of the most influential factors affecting perioperative morbidity and mortality would improve the quality of care and provision of health resources for these patients. The objective of the present study was to analyze the perioperative mortality, and its most determinant factors, among nonagenarian patients who underwent a surgical procedure in the Department of General and Digestive Surgery. METHODS A retrospective descriptive study was carried out in a cohort of 159 consecutive non-selected surgical nonagenarian patients. Clinical data, type of operation, perioperative hemodynamic instability, the need for blood transfusion and medical/surgical complications were evaluated as predictor variables. The outcome variable was operative mortality. RESULTS The mean age was 91.8 years (SD ± 2.0); there were 60 men (37.7%) and 99 (62.3%) women. Perioperative mortality was 28.93% (46 patients). The variables age (P = 0.025), American Society of Anesthesiologists physical status score (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text