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November 1, 1984Southern Medical Journal

Surgical Procedures in Patients Aged 90 Years and Older

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Why the study?

What are the mortality rates and outcomes of major surgical procedures in patients aged 90 years and older?

Population

75 patients aged 90 years or more undergoing 85 major surgical procedures at two hospitals in Nashville over…

Design

Case_series

Authors

RAR. Benton AdkinsButler UniversityHSH. William ScottMeharry Medical College

Discussion

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Implication

May inform risk discussions for nonagenarians; leaves open need for prospective data before practice change.

Structured PICO

What are the mortality rates and outcomes of major surgical procedures in patients aged 90 years and older?

P
Population
75 patients aged 90 years or more undergoing 85 major surgical procedures at two hospitals in Nashville over a 5-year period.
I
Intervention
Major surgical procedures (most commonly exploratory laparotomy and lower extremity amputation).
O
Outcome
Postoperative mortalityhard clinical

Major surgical procedures in nonagenarians carry a 13.4% mortality rate but can generally be performed with acceptable results to improve or prolong quality of life.

Cite This Study

Adkins et al. (1984) studied this question.

synapsesocial.com/papers/6a7776dde29fd788c9f751f9https://doi.org/10.1097/00007611-198411000-00003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Surgery in the Nineties2000 · 35 citations
  2. 2Outcomes of surgery in patients aged ≥90 years in the general surgical setting2018 · 34 citations
  3. 3EXPERIENCE WITH OPERATIONS FOR PATIENTS OVER 90 YEARS OLD1997 · 1 citations
  4. 4Surgical care and outcome for patients in their nineties1997 · 44 citations
  5. 5Prediction of Outcome of Surgery and Anesthesia in Patients Over 801979 · 243 citations