The relationship of Charlson comorbidity index and postoperative complications in elderly patients after partial or radical nephrectomy

Autor: E. Becher, P.García Marchiñena, J. Jaunarena, D. Santillán, L. Pérez, B. Boietti, A. Jurado, G. Gueglio
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: African Journal of Urology, Vol 24, Iss 4, Pp 387-391 (2018)
Druh dokumentu: article
ISSN: 1110-5704
DOI: 10.1016/j.afju.2018.09.004
Popis: Objectives: To compare preoperative Charlson comorbidity Index (CCI) and postoperative complications after oncologic kidney surgery in patients aged 70 or older. To compare CCI and need for interdisciplinary evaluation, consults to the emergency department and need of readmission are secondary objectives. Patients and methods: This is a retrospective cohort study. Patients aged 70 or older who underwent partial or radical nephrectomy were collected from an institutional database. Period: February 2012–June 2014. Association between CCI and complications was estimated using Chi2. Results: Final population: 143 (male: 65%). Age median was 75. Minor postoperative complications were 33.88% (n = 41) for patients CCI ≤ 4 versus 9.09% (n = 2) for patients CCI > 4 (p > 0.05), and major postoperative complications were 9.91% (n = 12) versus 45.45% (n = 10), respectively (p 4 (p = 0.01). Readmission was needed for 9.09% (n = 11) and 40.1% (n = 11) respectively (p
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