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[Surgical diseases in advanced age].

H D Clevert1, W Ostach, B Rohleder-Telkamp

  • 1Chirurgische Abteilung, DRK-Krankenhaus Mark Brandenburg, Berlin.

Helvetica Chirurgica Acta
|May 1, 1991
PubMed
Summary

Surgical treatment for elderly patients (85+) showed a 16.5% mortality rate. Emergency operations significantly increased this risk compared to elective procedures, highlighting the importance of pre-operative risk assessment.

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[Electronic data processing-assisted documentation in vascular surgery].

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Area of Science:

  • Geriatric surgery
  • Surgical outcomes in the elderly
  • Cardiopulmonary risk assessment

Context:

  • Hospitalized treatment for 615 patients aged 85-101 years between 1982-1989.
  • Average patient age was 88.8 years.
  • Surgical intervention was performed on 66.1% of patients.

Purpose:

  • To evaluate the surgical lethality in a cohort of very elderly patients.
  • To compare mortality rates between emergency and elective surgical procedures.
  • To determine the utility of pre-operative diagnostic tools in assessing surgical risk.

Summary:

  • Overall surgical lethality was 16.5% in this elderly cohort.
  • Emergency operations had a significantly higher lethality rate (30.8%) compared to elective operations (10.7%).
  • Pre-operative chest X-rays and electrocardiograms (ECG) were identified as reliable indicators for surgical risk assessment.

Impact:

  • Findings underscore the heightened risks associated with surgery in the oldest old.
  • Highlights the critical need for thorough pre-operative evaluation in this demographic.
  • Informs clinical decision-making regarding the management of elderly patients requiring surgical intervention.

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