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[Emergency surgery in patients over eighty]

M Musazzi1, R Caron, G Caldana

  • 1II Divisione di Chirurgia, Generale, USSL n. 68--Presidio Ospedaliero di Rho, Milano.

Minerva Chirurgica
|September 1, 1994
PubMed
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Emergency surgery in patients over eighty is complex, with high complication rates. Coexisting diseases significantly increase mortality risk, necessitating careful surgical indication and postoperative management.

Area of Science:

  • Geriatric Surgery
  • Surgical Outcomes
  • Emergency Medicine

Background:

  • Elderly patients undergoing emergency surgery present unique challenges.
  • High rates of comorbidities are common in this demographic.

Purpose of the Study:

  • To analyze outcomes of emergency surgery in patients over eighty.
  • To identify factors influencing mortality and complications in this population.

Main Methods:

  • Retrospective review of 139 patients over eighty undergoing emergency surgery.
  • Data collected on diagnoses, comorbidities, surgical procedures, complications, and outcomes.

Main Results:

  • 73 cases of large bowel obstruction and 48 of peritonitis were analyzed.

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  • 78% of patients had significant comorbidities, particularly cardiovascular diseases.
  • Major surgical procedures were performed in 74 patients, with a 48% complication rate and 24% mortality.
  • Mortality was often linked to exacerbation of pre-existing conditions.

    • Conclusions:

    • Mortality in octogenarian surgical patients is directly correlated with the number of comorbidities.
    • Careful consideration of surgical indications and meticulous postoperative care are crucial for improving outcomes.