Key result
Age over 80 linked to ~24% greater absolute mortality after emergency colorectal surgery.
Why the study?
What are the mortality and morbidity outcomes and associated risk factors in elderly patients, particularly octogenarians, undergoing emergency colorectal resection?
Population
355 patients who underwent surgery at an Emergency Department for complications of colorectal disease…
Comparison
Emergency colorectal resection vs Patients < 80 years of age vs patients ≥ 80…
Design
Cohort
Authors
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Elevated mortality in octogenarians after emergency colorectal surgery warrants individualized risk assessment; leaves open whether frailty-targeted interventions improve outcomes.
Cohort (n=355)
What are the mortality and morbidity outcomes and associated risk factors in elderly patients, particularly octogenarians, undergoing emergency colorectal resection?
Absolute Event Rate: 30% vs 6%
Absolute Risk Reduction: 24%
Emergency colorectal surgery in octogenarians carries a high mortality rate (30%), driven by fitness status and microvascular impairment, suggesting a need for aggressive resuscitation and intensive postoperative care.
Modini et al. (2012) conducted a cohort in Complications of colorectal disease requiring emergency surgery (n=355). Age ≥ 80 years vs. Age < 80 years was evaluated on Mortality. In patients undergoing emergency colorectal surgery, octogenarians (≥80 years) had a 30% mortality rate compared to 6% in younger patients, representing a 24% absolute difference.
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