Key result
Nursing home residence was associated with higher operative mortality than noninstitutionalized patients for procedures including colectomy (32% vs 13%, AOR 2.06, P<0.001).
Why the study?
Does major abdominal surgery in nursing home residents carry a higher risk of mortality and invasive interventions compared to noninstitutionalized older adults?
Population
Nursing home residents and noninstitutionalized Medicare enrollees age 65 and older undergoing major…
Comparison
Major abdominal surgery in nursing home residents. vs Major abdominal surgery in noninstitutionalized…
Design
Cohort
Authors
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High 30-day mortality after major abdominal surgery in nursing home residents warrants individualized risk-benefit assessment; leaves open optimal selection and nonoperative strategies for this population.
Cohort (n=1,131,108)
Yes
Does major abdominal surgery in nursing home residents carry a higher risk of mortality and invasive interventions compared to noninstitutionalized older adults?
p-value: p=<0.001
Nursing home residents experience substantially higher rates of mortality and invasive interventions after major abdominal surgery compared to noninstitutionalized older adults, independent of age and measured comorbidities.
Finlayson et al. (2011) conducted a cohort in Major abdominal surgery (n=1,131,108). Nursing home residence vs. Noninstitutionalized Medicare enrollees was evaluated on Operative mortality (p=<0.001). Nursing home residence was associated with higher operative mortality than noninstitutionalized patients for procedures including colectomy (32% vs 13%, AOR 2.06, P<0.001).
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