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CLINICAL AND SURGICAL DILEMMAS IN OCTOGENARIAN PATIENTS WITH SMALL BOWEL OBSTRUCTION
Tomás González-Arestizábal1, Álvaro Morales1, Tania Avayú-Zaliasnik1
1Universidad de Chile, Clinical Hospital, Department of Surgery, Santiago, Chile.
Summary
Elderly patients over 80 undergoing surgery for small bowel obstruction (SBO) face higher medical complication risks and longer hospital stays. This leads to significantly increased healthcare costs for octogenarians compared to younger patients.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Health Economics
Background:
- Small bowel obstruction (SBO) presents a significant emergency healthcare challenge.
- Comorbidities in SBO patients exacerbate morbidity and mortality, increasing healthcare expenditures.
- Limited Latin American data exists on comparative postoperative outcomes and costs for SBO management.
Purpose of the Study:
- To compare surgical morbimortality risks and treatment costs for SBO in patients aged 80 and older versus those younger than 80.
- To identify specific differences in outcomes and financial implications between these age groups.
Main Methods:
- Retrospective analysis of 218 SBO patients treated surgically at University of Chile Clinic Hospital (2014-2017).
- Exclusion of patients receiving solely medical treatment.
- Application of parametric statistics with a 5% error margin and 95% confidence interval.
Main Results:
- Octogenarians (18.8% of cohort) showed significantly higher overall complication rates (46.3% vs. 24.3%).
- Medical complications were more frequent in octogenarians (39.0% vs. 22.5%), while surgical complication rates were similar.
- Octogenarians experienced longer hospital stays (17.4 vs. 11.0 days) and substantially higher costs (USD 9,555 vs. USD 4,214).
Conclusions:
- Surgical management of SBO in patients aged 80 and older is associated with increased medical complications.
- Elderly patients necessitate longer hospitalizations and incur higher treatment costs.
- Age is a critical factor influencing SBO surgical outcomes and resource utilization.
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