Key result
Emergent abdominal surgery in nonagenarians was associated with higher in-hospital mortality (20.8% vs 9.6%; p=0.06) and 1-year mortality (49.1% vs 27.8%; p=0.016) compared to elective surgery.
Why the study?
Does emergent abdominal surgery compared to elective abdominal surgery increase mortality and morbidity in patients 90 years of age or older?
Population
145 patients 90 years of age or older who underwent abdominal surgery between 2000 and 2007 at a tertiary…
Comparison
Emergent abdominal surgery vs Elective abdominal surgery
Design
Cohort
Follow-up
1 year
Authors
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Supports caution with emergent abdominal surgery in nonagenarians; leaves open whether elective timing or optimization improves survival.
Observational (n=145)
No
Does emergent abdominal surgery compared to elective abdominal surgery increase mortality and morbidity in patients 90 years of age or older?
Absolute Event Rate: 20.8% vs 9.6%
p-value: p=0.06
Nonagenarians undergoing abdominal surgery face substantial morbidity and mortality, particularly in emergent cases where nearly 50% die within 1 year, and standard surgical risk scores overpredict mortality in this population.
Racz et al. (2012) conducted an observational in Abdominal surgery in nonagenarians (n=145). Emergent abdominal surgery vs. Elective abdominal surgery was evaluated on in-hospital mortality (p=0.06). Emergent abdominal surgery in nonagenarians was associated with higher in-hospital mortality (20.8% vs 9.6%; p=0.06) and 1-year mortality (49.1% vs 27.8%; p=0.016) compared to elective surgery.
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