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[Nonelective colorectal surgery. Does age determine the results?]

J J Arenal Vera1, J L Marcos Rodríguez, F Martín Acebes

  • 1Servicio de Cirugía General, Hospital Pío del Río Hortega, Valladolid.

Revista Espanola De Enfermedades Digestivas
|October 1, 1994
PubMed
Summary

Age does not significantly impact mortality rates in emergency colorectal surgery. However, increasing age is associated with higher morbidity, alongside factors like peritonitis and longer delays before operation.

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Area of Science:

  • Colorectal Surgery
  • Geriatric Surgery
  • Surgical Outcomes

Background:

  • Non-elective colorectal surgery carries significant risks.
  • Understanding age-related outcomes is crucial for surgical decision-making.

Purpose of the Study:

  • To assess the effect of patient age on mortality and morbidity following emergency colorectal surgery.

Main Methods:

  • Retrospective analysis of 150 patients undergoing non-elective colorectal surgery (1986-1992).
  • Patients were divided into two groups: under 70 years and 70 years or older.
  • Multiple regression analysis was used to identify influencing factors.

Main Results:

  • Mortality was linked to associated risk factors, peritonitis, and delayed surgery.

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  • Overall morbidity increased with advancing age.
  • Benign colorectal disease also correlated with increased morbidity.

    • Conclusions:

    • Age is not a significant predictor of mortality in non-elective colorectal surgery.
    • Age is a significant risk factor for increased morbidity in this patient population.