Key result
Comorbidity had no significant effect on mortality in elderly patients undergoing emergency abdominal surgery (OR 1.296; 95% CI 0.84-1.97; P > 0.05).
Why the study?
Despite medical advances, elderly patients undergoing emergency surgery still experience poor outcomes and high mortality, with comorbidities described as main determining factors.
Does the presence of comorbidity increase mortality in elderly patients undergoing emergency abdominal surgery?
Population
1330 cases across 9 studies of elderly patients undergoing emergency abdominal surgery
Comparison
Comorbid factors vs no comorbid factors
Design
Systematic review and metaanalysis
Authors
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Comorbidity should not alter surgical risk assessment; leaves open prospective validation of comorbidity-specific effects.
Meta-Analysis (n=1,330)
Does the presence of comorbidity increase mortality in elderly patients undergoing emergency abdominal surgery?
Odds Ratio: 1.296 (95% CI 0.84–1.97)
Absolute Event Rate: 22.4% vs 13.8%
p-value: p=> 0.05
This meta-analysis suggests that the presence of comorbidity does not significantly increase mortality in geriatric patients undergoing emergency abdominal surgery, though further research is needed.
Çınar et al. (2020) conducted a meta-analysis in Emergency abdominal surgery in elderly patients (n=1,330). Comorbidity vs. No comorbidity was evaluated on Mortality (OR 1.296, 95% CI 0.84-1.97, p=> 0.05). Comorbidity had no significant effect on mortality in elderly patients undergoing emergency abdominal surgery (OR 1.296; 95% CI 0.84-1.97; P > 0.05).
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