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[Surgical risk in patients over 70]

U Metzger, S Geroulanos, R Gattiker

    Schweizerische Medizinische Wochenschrift
    |March 7, 1981
    PubMed
    Summary

    Surgery in elderly patients (70+) saw increased frequency and decreased mortality rates by 1979. Urgent surgeries posed significantly higher risks than elective procedures, highlighting the need for careful intervention planning.

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    Area of Science:

    • Geriatric Surgery
    • Surgical Outcomes
    • Patient Demographics

    Context:

    • Analysis of 501 surgical procedures performed in 1979 on 390 patients aged 70 years and older.
    • Comparison of surgical frequency and mortality rates between 1979 and 1956/57 in the elderly population.

    Purpose:

    • To report surgical activity and outcomes in elderly patients (70+) in 1979.
    • To assess trends in surgical frequency and mortality for this demographic over time.
    • To evaluate the impact of urgency on surgical outcomes in geriatric patients.

    Summary:

    • In 1979, 501 surgeries were performed on 390 patients aged 70+, with a 5.4% operative mortality rate.
    • Surgical frequency in this age group increased from 8.3% (1956/57) to 11% (1979).
    • Mortality for urgent surgeries (15%) was five times higher than for elective procedures (2.6%).

    Impact:

    • Demonstrates a significant decrease in mortality rates for elderly surgical patients despite increased procedure frequency.
    • Underscores the elevated risk associated with urgent surgeries in geriatric populations.
    • Suggests a preference for elective surgical interventions in elderly patients to minimize mortality risk.

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