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Surgical mortality in the elderly.

A L Santos, A Gelperin

    Journal of the American Geriatrics Society
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Surgical mortality for patients aged 70+ was 4.9%, lower than literature averages. Elderly patients should not be denied surgery based on age alone if it improves quality of life.

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    Area of Science:

    • Geriatric Surgery
    • Surgical Outcomes Research

    Background:

    • Surgical outcomes in elderly populations are a growing concern.
    • Limited data exists on mortality rates for patients aged 70 and above, particularly the 90+ age group.

    Purpose of the Study:

    • To analyze surgical mortality rates in patients aged 70 and older.
    • To compare outcomes in different age subgroups and procedure types.
    • To inform clinical decisions regarding surgery in the elderly.

    Main Methods:

    • Retrospective review of 2,186 operations performed between 1970-1973.
    • Analysis of surgical mortality stratified by age groups (70+, 90+) and procedure category.
    • Comparison of findings with existing literature.

    Main Results:

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    • Overall mortality for patients aged 70+ was 4.9%, significantly lower than reported literature (8-21%).
    • Higher mortality observed in gastrointestinal, biliary, and chest procedures.
    • 116 operations were performed in the 90+ age group, with predictably higher mortality.

    Conclusions:

    • Surgical mortality in patients aged 70+ is lower than previously reported.
    • While certain procedures carry higher risks, age alone should not preclude elderly patients from necessary surgery.
    • Minor surgical operations in the elderly require careful consideration due to potential risks.