Key result
Emergency surgery in patients over 80 is linked to higher mortality versus younger patients.
Why the study?
Emergency guidelines do not differentiate between younger adults and older persons despite the aging population posing challenges for acute care surgical outcomes.
Does age and comorbidities affect acute care surgical outcomes in emergency admissions?
Population
161 emergency surgery patients admitted to Department of General, Minimally Invasive and Elderly Surgery in Olsztyn
Comparison
Patients older than 80 years vs younger age groups
Design
Retrospective cohort study
Authors
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Higher mortality and comorbidities in emergency surgery patients >80 years were associated with age; leaves open whether age-specific guidelines improve outcomes.
Cohort (n=161)
No
Does age and comorbidities affect acute care surgical outcomes in emergency admissions?
p-value: p=0.002
Age and comorbidities significantly increase the risk of perioperative death in emergency surgery, suggesting the utility of the POSSUM scale for risk prediction in older patients.
Kozera et al. (2018) conducted a cohort in Emergency surgery (n=161). Age ≥80 years vs. Younger age groups was evaluated on Mortality rate (p=0.002). Patients aged 80 years and older undergoing emergency surgery had a significantly higher mortality rate compared to younger patients (p=0.002).
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