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Emergency abdominal surgery in the elderly
R McIntyre1, D Reinbach, R J Cuschieri
1Division of Surgery, Southern General Hospital, Glasgow, UK.
Journal of the Royal College of Surgeons of Edinburgh
|June 1, 1997
Summary
This study examined emergency abdominal surgery outcomes in 152 patients. Key factors like diagnosis and surgeon grade did not impact patient morbidity or mortality, though specific conditions showed poor prognosis.
Area of Science:
- Surgical Outcomes Research
- Emergency Medicine
- Gastrointestinal Surgery
Background:
- Emergency abdominal surgery involves significant patient risk.
- Identifying factors influencing surgical outcomes is crucial for improving patient care.
Purpose of the Study:
- To investigate the relationship between pre-operative health, operative diagnosis, procedure, surgery duration, and surgeon grade on emergency abdominal surgery outcomes.
- To assess the overall morbidity and mortality rates in patients undergoing emergency abdominal surgery.
Main Methods:
- A retrospective survey of 152 patients who underwent emergency abdominal surgery.
- Analysis of operative diagnosis, procedure, pre-operative health, surgery duration, and surgeon grade.
- Assessment of patient morbidity and mortality as outcome measures.
Main Results:
- None of the studied factors (diagnosis, procedure, pre-operative health, duration, surgeon grade) were significantly related to patient morbidity or mortality.
- The overall mortality rate was 25%, consistent with existing literature.
- Obstructing left colon cancer and upper gastro-intestinal hemorrhage were associated with particularly poor outcomes.
Conclusions:
- In this cohort, common pre-operative and operative factors did not predict outcomes in emergency abdominal surgery.
- Specific conditions like obstructing left colon cancer and upper GI bleeds require focused management strategies.
- Most patients were discharged within three weeks, indicating manageable resource utilization.