Key result
Major surgery (OR 44.92) and an ASA physical status score of 4 (OR 18.67) were significant independent predictors of 90-day mortality in patients over 80 years of age undergoing emergency abdominal surgery.
Why the study?
Emergency abdominal surgery in elderly patients carries high mortality, and few studies have evaluated mortality risk factors and laboratory test results specifically in this patient group.
Cohort (n=100)
No
Odds Ratio: 44.92 (95% CI 2.36–855.14)
p-value: p=0.011
In elderly patients over 80 years undergoing emergency abdominal surgery, the magnitude of surgery and ASA score are the strongest independent predictors of mortality.
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Supports preoperative risk stratification in elderly emergency surgery; leaves open prospective validation and intervention trials.
Altınay et al. (2023) conducted a cohort in Emergency abdominal surgery (n=100). Major surgery vs. Intermediate surgery was evaluated on 90-day mortality (OR 44.92, 95% CI 2.36-855.14, p=0.011). Major surgery (OR 44.92) and an ASA physical status score of 4 (OR 18.67) were significant independent predictors of 90-day mortality in patients over 80 years of age undergoing emergency abdominal surgery.
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