Key result
Major abdominal emergency surgery in patients over 85 years of age was associated with a 26.6% perioperative mortality rate, with no ASA IV or V patients surviving beyond 6 months.
Why the study?
What are the outcomes and prognostic parameters of major abdominal emergency surgery in patients over 85 years of age?
Population
45 consecutive patients aged over 85 years who underwent major abdominal emergency surgery between May 1999…
Design
Cohort
Follow-up
Up to end of study (at least 6 months)
Authors
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Supports cautious risk discussions for emergency abdominal surgery in patients >85; hypothesis-generating for ASA-guided decisions pending prospective validation.
Observational (n=45)
What are the outcomes and prognostic parameters of major abdominal emergency surgery in patients over 85 years of age?
Emergency major abdominal surgery in patients over 85 carries a high perioperative mortality (26.6%), with survival strongly correlated with baseline ASA score, suggesting palliative care should be considered for ASA III or higher.
Zerbib et al. (2005) conducted an observational in Major abdominal emergency surgery (n=45). Major abdominal emergency surgery was evaluated on Perioperative mortality. Major abdominal emergency surgery in patients over 85 years of age was associated with a 26.6% perioperative mortality rate, with no ASA IV or V patients surviving beyond 6 months.