Key result
Emergency surgery in nonagenarians linked to ~273% higher 90-day mortality versus elective procedures.
Why the study?
There is limited research on outcomes of general surgical procedures in patients aged 90 years and older to guide surgical decision-making.
Does elective versus emergency general surgery impact mortality in patients aged ≥90 years?
Population
161 patients aged ≥90 years undergoing general surgical procedures at a tertiary care facility
Comparison
Elective general surgical procedures vs emergency general surgical procedures
Design
Retrospective cohort analysis
Follow-up
90 days
Authors
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Supports elective scheduling when feasible in nonagenarians; extends observational data but requires prospective validation before practice change.
Cohort (n=161)
No
Does elective versus emergency general surgery impact mortality in patients aged ≥90 years?
Absolute Event Rate: 19.4% vs 5.2%
p-value: p=0.013
In patients aged ≥90 years, elective general surgery carries an acceptable mortality risk, whereas emergency surgery is associated with significantly increased mortality, particularly after major gastrointestinal resections.
Sudlow et al. (2018) conducted a cohort in General surgical procedures (n=161). Emergency general surgery vs. Elective general surgery was evaluated on 90-day mortality rate (p=0.013). Emergency general surgery in patients aged ≥90 years was associated with a significantly higher 90-day mortality rate compared to elective surgery (19.4% vs 5.2%; p=0.013).