Key result
Delay in hospital admission of more than 24 hours significantly predicted 30-day mortality (OR 9.60) in elderly patients undergoing emergency abdominal surgery.
Why the study?
What factors predict mortality in elderly patients undergoing emergency abdominal surgery?
Population
94 patients aged 80 years or older who underwent emergency surgery for acute abdominal diseases between 2000…
Design
Cohort
Follow-up
1 month
Authors
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May support expedited admission pathways in elderly emergency abdominal surgery; leaves open whether reducing delays improves survival.
Observational (n=94)
What factors predict mortality in elderly patients undergoing emergency abdominal surgery?
Odds Ratio: 9.6039 (95% CI 1.8226–50.6079)
Absolute Event Rate: 28.2% vs 7.3%
p-value: p=0.0076
In elderly patients undergoing emergency abdominal surgery, mortality can be predicted by the POSSUM scoring system and delay in hospital admission.
Fukuda et al. (2012) conducted an observational in Acute abdominal diseases requiring emergency surgery (n=94). Delay in hospital admission (>24 hours) vs. Admission <24 hours was evaluated on 30-day postoperative mortality (OR 9.6039, 95% CI 1.8226-50.6079, p=0.0076). Delay in hospital admission of more than 24 hours significantly predicted 30-day mortality (OR 9.60) in elderly patients undergoing emergency abdominal surgery.
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