Key result
Emergent colon surgery in patients over 80 links to ~300% higher mortality versus elective procedures.
Why the study?
Increasing age and emergent surgery are known risk factors for poor outcomes in colon surgery, and differences in outcomes between emergent and elective colon surgery in the extreme elderly need delineation.
Does emergent colon surgery compared to elective colon surgery worsen outcomes in extreme elderly patients?
Population
104 extreme elderly patients (age 80 years or older) who underwent colon surgery
Comparison
Emergent colon surgery vs elective colon surgery
Design
Retrospective cohort study
Follow-up
30 days
Authors
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Supports elective timing when feasible in octogenarians; extends observational data on urgency risks but leaves open causal mitigation strategies.
Cohort (n=104)
No
Does emergent colon surgery compared to elective colon surgery worsen outcomes in extreme elderly patients?
Absolute Event Rate: 51.2% vs 20%
p-value: p=< 0.001
Emergent colon surgery in patients aged 80 or older carries a substantially higher risk of morbidity and mortality compared to elective surgery, highlighting the need for careful risk-benefit assessment.
Morse et al. (2008) conducted a cohort in Colon surgery in the extreme elderly (n=104). Emergent colon surgery vs. Elective colon surgery was evaluated on Morbidity (p=< 0.001). Emergent colon surgery in patients aged ≥80 years was associated with significantly higher morbidity (51.2% vs 20%, P<0.001) and 30-day mortality (30.7% vs 7.7%, P<0.005) than elective surgery.
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