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[Lung surgery in elderly patients--an increased risk?]

T Gross1, M Zwimpfer, U Metzger

  • 1Chirurgische Klinik, Stadtspital Triemli, Zürich.

Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Elderly patients undergoing open lung surgery had similar complication rates but a higher mortality risk. Advanced age increases mortality risk upon complication appearance.

Area of Science:

  • Thoracic surgery
  • Geriatric medicine
  • Pulmonary medicine

Context:

  • Retrospective analysis of 187 pulmonary resections and thoracotomies (1990-1994).
  • Focus on age-dependent outcomes in patients aged 70 and older versus younger cohorts.

Purpose:

  • To evaluate hospital morbidity and mortality associated with open lung surgery in elderly patients (>= 70 years).
  • To compare outcomes between elderly and younger patient groups.

Summary:

  • No significant difference in hospital morbidity was observed between elderly (>= 70 years) and younger patients (40% vs. 40.8%).
  • Hospital mortality was significantly higher in the elderly group (11.1%) compared to younger patients (3.5%).
  • Lethal cases in the elderly were associated with higher preoperative risk (ASA 2.75 vs. 2.18).

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Impact:

  • While overall complication rates are comparable, advanced age increases mortality risk following complications in open lung surgery.
  • Findings highlight the need for careful preoperative risk assessment in elderly patients undergoing thoracic procedures.