Key result
Emergency gastrointestinal surgery in patients aged 70 years or older was associated with a 20% operative mortality, compared to 6.7% for elective procedures.
Why the study?
Does elective gastrointestinal surgery have an acceptable operative mortality rate in patients older than 70 years compared to emergency surgery?
Population
1,411 gastrointestinal surgical procedures performed between March 1972 and September 1979, with 23.6% in…
Design
Cohort
Authors
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May support elective gastrointestinal procedures in select patients over 70; leaves open confounding and selection bias in this observational cohort.
Observational (n=1,411)
Does elective gastrointestinal surgery have an acceptable operative mortality rate in patients older than 70 years compared to emergency surgery?
Absolute Event Rate: 20% vs 6.7%
Elective gastrointestinal surgery in elderly patients carries a significantly lower operative mortality (6.7%) than emergency procedures (20%), suggesting that potentially treatable diseases should be addressed electively rather than delayed until an acute catastrophic event occurs.
A. Gerson Greenburg (1981) conducted an observational in Gastrointestinal disease requiring surgery (n=1,411). Emergency gastrointestinal surgery vs. Elective gastrointestinal surgery was evaluated on Operative mortality. Emergency gastrointestinal surgery in patients aged 70 years or older was associated with a 20% operative mortality, compared to 6.7% for elective procedures.
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