Key result
Admission serum creatinine >2.0 mg/dL in geriatric patients undergoing emergent general surgery was associated with higher mortality compared to ≤2.0 mg/dL (42% vs 3%; OR 10.7, 95% CI 1.7-67, P=0.01).
Why the study?
Does renal insufficiency on admission predict mortality in geriatric patients undergoing emergent general surgery?
Population
Patients 65 years of age or older undergoing emergent general surgery at a public teaching hospital over a…
Comparison
Presence of renal insufficiency on admission vs Admission serum creatinine ≤ 2.0 mg/dL
Design
Cohort
Follow-up
perioperative
Authors
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May warrant heightened perioperative vigilance in geriatric emergency surgery patients; hypothesis-generating for targeted interventions, prospective validation needed.
Observational (n=44)
No
Does renal insufficiency on admission predict mortality in geriatric patients undergoing emergent general surgery?
Odds Ratio: 10.7 (95% CI 1.7–67)
Absolute Event Rate: 42% vs 3%
p-value: p=0.01
In geriatric patients undergoing emergent general surgery, admission renal insufficiency (creatinine >2.0 mg/dL) is a strong predictor of perioperative mortality.
Yaghoubian et al. (2011) conducted an observational in Emergent general surgery in geriatric patients (n=44). Admission serum creatinine > 2.0 mg/dL vs. Admission serum creatinine ≤ 2.0 mg/dL was evaluated on Mortality (OR 10.7, 95% CI 1.7-67, p=0.01). Admission serum creatinine >2.0 mg/dL in geriatric patients undergoing emergent general surgery was associated with higher mortality compared to ≤2.0 mg/dL (42% vs 3%; OR 10.7, 95% CI 1.7-67, P=0.01).
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