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[Emergency abdominal surgery in the aged]

A Monaco1, C Verna, L Gastaldi

  • 1Divisione di Chirurgia Generale, USSL 5-Ospedale di Giaveno (Torino).

Minerva Chirurgica
|December 1, 1996
PubMed
Summary
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This study analyzed 93 elderly patients undergoing emergency abdominal surgery. Sepsis was a major complication, particularly in those with comorbidities, highlighting the need for improved preoperative and postoperative care.

Area of Science:

  • Geriatric Surgery
  • Surgical Outcomes
  • Emergency Medicine

Background:

  • Elderly patients undergoing emergency abdominal surgery face significant risks.
  • Comorbidities in older adults can exacerbate surgical complications and mortality.
  • Understanding risk factors is crucial for improving outcomes in this demographic.

Purpose of the Study:

  • To report on the morbidity and mortality of elderly patients undergoing emergency abdominal surgery.
  • To identify risk factors influencing prognosis in this patient population.
  • To propose a multidisciplinary approach for enhanced perioperative care.

Main Methods:

  • Retrospective analysis of 93 elderly patients (divided into two age groups: 65-80 and >80 years).
  • Data collected over a five-year period on emergency abdominal surgeries.

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  • Assessment of complications, focusing on sepsis, and associated diseases.

    • Main Results:

    • Overall morbidity was 47.3%, with sepsis being the most frequent complication (28.1% in group I, 17.2% in group II).
    • Sepsis rates were higher in patients with associated diseases (61.1% in group I, 60% in group II).
    • Overall mortality was 16.2%, with 66.6% of deaths occurring in patients with comorbidities.

    Conclusions:

    • Elderly patients, especially those with comorbidities, are at high risk for sepsis and mortality after emergency abdominal surgery.
    • Associated diseases significantly influence the occurrence of sepsis and overall prognosis.
    • A multidisciplinary approach is recommended to optimize perioperative management and improve outcomes.