Deakin University
Browse

File(s) under permanent embargo

How do patients aged 85 and older fare with abdominal surgery?

Version 2 2024-06-03, 18:37
Version 1 2017-07-26, 13:56
journal contribution
posted on 2024-06-03, 18:37 authored by N Mirbagheri, JG Dark, David WattersDavid Watters
OBJECTIVES: To review the outcomes of patients aged 85 and older after abdominal surgery in terms of mortality, morbidity, and change in residential status and to analyze factors predicting such outcomes. DESIGN: Retrospective clinical cohort study. SETTING: A tertiary regional hospital in Victoria, Australia. PARTICIPANTS: One hundred seventy-nine patients aged 85 and older who had abdominal surgery between 1998 and 2008. MEASUREMENTS: Mortality, complications (morbidity), and change in residential status. RESULTS: The patient sample had a mean age of 88.6, a mortality rate of 17.3%, and a morbidity rate of 62.8%. Approximately two-thirds (64%) of all abdominal surgeries were emergency surgeries. Factors predicting mortality included American Society of Anesthesiologists (ASA) score and premorbid residential status. Risk factors predicting severity of complications were ASA score and emergency surgery. Significant factors contributing to change in residential status were ASA score and severity of complications. Age, sex, and number of comorbidities were not significant factors. CONCLUSION: Patients aged 85 and older experienced mortality rates of 17.3% after abdominal surgery. ASA score and premorbid residential status appear to be more important than age in determining risk for abdominal surgery in older persons.

History

Journal

Journal of the American Geriatrics Society

Volume

58

Pagination

104-108

Location

United States

ISSN

0002-8614

eISSN

1532-5415

Language

eng

Publication classification

CN.1 Other journal article

Issue

1

Publisher

Wiley

Usage metrics

    Research Publications

    Categories

    No categories selected

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC