Key result
In octo- and nonagenarians following acute care surgery, cognitive impairment was significantly higher at 3 years (33.3%) compared to 1 year (9.5%) and 2 years (9.1%) post-operatively, while functional status remained stable.
Why the study?
What are the long-term outcomes regarding cognitive impairment, functional status, and quality of life in octo- and nonagenarians following emergency surgery?
Population
159 octo- and nonagenarians who underwent emergency surgery between 2008 and 2010 at a single tertiary…
Design
Cross-sectional
Follow-up
1, 2, and 3 years
Authors
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May warrant cognitive surveillance in octo- and nonagenarians after acute surgery; leaves open causal mechanisms and modifiable factors.
Cross-Sectional (n=159)
No
What are the long-term outcomes regarding cognitive impairment, functional status, and quality of life in octo- and nonagenarians following emergency surgery?
Absolute Event Rate: 33.3% vs 9.5%
p-value: p=0.05
Half of patients over 80 survive up to 3 years after emergency surgery, with stable functional status but increasing cognitive impairment and perceived health decline over time.
Gazala et al. (2013) conducted a cross-sectional in Acute surgical conditions requiring emergency surgery (n=159). Acute care surgery vs. 1 and 2 years post-operative was evaluated on Cognitive impairment (Abbreviated Mental Test Score-4) (p=0.05). In octo- and nonagenarians following acute care surgery, cognitive impairment was significantly higher at 3 years (33.3%) compared to 1 year (9.5%) and 2 years (9.1%) post-operatively, while functional status remained stable.
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