Key result
Preoperative vascular disease was an independent risk factor for 30-day morbidity (OR 2.1; 95% CI 1.4-3.1; p=0.02) and mortality (OR 1.9; 95% CI 1.3-2.8; p=0.001) after emergency abdominal surgery.
Why the study?
Do specific preoperative comorbidities predict 30-day mortality and morbidity in older patients undergoing emergency abdominal surgery?
Population
184 consecutive elderly patients aged ≥65 years qualified for emergency abdominal surgery in Poland.
Design
Cohort
Follow-up
30 days
Authors
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Comorbidities may refine risk stratification for elderly emergency abdominal surgery patients; leaves open need for external validation and prospective confirmation.
Cohort (n=184)
Do specific preoperative comorbidities predict 30-day mortality and morbidity in older patients undergoing emergency abdominal surgery?
Odds Ratio: 2.1 (95% CI 1.4–3.1)
p-value: p=0.02
Specific comorbidities like dysrhythmia, vascular disease, and renal disease independently predict adverse outcomes in elderly patients undergoing emergency abdominal surgery, suggesting qualitative risk assessment is more important than merely counting comorbidities.
Kenig et al. (2015) conducted a cohort in Emergency abdominal surgery (n=184). Vascular disease vs. Absence of vascular disease was evaluated on 30-day morbidity (OR 2.1, 95% CI 1.4-3.1, p=0.02). Preoperative vascular disease was an independent risk factor for 30-day morbidity (OR 2.1; 95% CI 1.4-3.1; p=0.02) and mortality (OR 1.9; 95% CI 1.3-2.8; p=0.001) after emergency abdominal surgery.
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