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[Surgical emergencies in elderly].
M F Coroş1, C Copotoiu, Sanda Copotoiu
1Clinica Chirurgie III, Spitalul Clinic Judeţean de Urgenţă Mureş, Universitatea de Medicină şi Farmacie Târgu-Mureş. corosmarius@yahoo.com
Chirurgia (Bucharest, Romania : 1990)
|August 23, 2008
Summary
Elderly patients face a higher percentage of surgical emergencies, with age and emergency conditions being key negative prognostic factors. These factors significantly increase mortality rates in older individuals requiring urgent surgical intervention.
Area of Science:
- Geriatric Surgery
- Surgical Pathology
- Emergency Medicine
Background:
- Increasing number of elderly patients seeking surgical care.
- Need to analyze characteristics and prognostic factors of surgical emergencies in the elderly population.
Purpose of the Study:
- To analyze the characteristics of surgical emergency pathology in the elderly.
- To establish prognostic factors for surgical emergencies in elderly patients.
Main Methods:
- Retrospective study of 22,803 patients admitted between 1999 and 2006.
- Statistical data processing of patient demographics and outcomes.
Main Results:
- Elderly patients (>=70 years) constituted 15.10% of all cases and 20.70% of emergencies.
- 47.80% of elderly patients were admitted under emergency conditions, compared to 32.53% of younger patients.
- Malignancies were present in 16.72% of elderly patients, versus 6.98% in younger patients. Abdominal emergencies accounted for 83.59% in the elderly.
Conclusions:
- Surgical emergencies disproportionately affect the elderly population.
- Emergency condition, advanced age, and neoplasia are critical negative prognostic factors.
- The combination of these factors can increase mortality risk up to fivefold in elderly patients compared to elective cases.
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