Key result
Emergency abdominal surgery in patients over 60 linked to ~3-fold higher mortality vs elective surgery.
Population
634 patients over 60 years of age undergoing abdominal surgery (525 elective, 109 emergency)
Design
Cohort
Follow-up
postoperative period
Authors
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Emergency abdominal surgery in elderly patients warrants heightened perioperative vigilance; leaves open whether targeted nutritional or pulmonary interventions improve survival.
Observational (n=634)
No
Absolute Event Rate: 11.9% vs 3.8%
p-value: p=<0.01
In elderly patients undergoing abdominal surgery, emergency procedures carry a significantly higher mortality rate than elective ones, with postoperative pneumonia being a major cause of death strongly linked to cerebrovascular disorders and malnutrition.
Hirashima et al. (1992) conducted an observational in Abdominal surgery (n=634). Emergency abdominal surgery vs. Elective abdominal surgery was evaluated on Mortality rate (p=<0.01). Emergency abdominal surgery in patients over 60 years of age was associated with a significantly higher mortality rate (11.9%) compared to elective surgery (3.8%).
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