The safety and prognostic factors for mortality in extremely elderly patients undergoing an emergency operation

Seon Young Park, Jae Sik Chung, Sung Hoon Kim, YoungWan Kim, Hoon Ryu, Dong Hyun Kim

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: As the number of elderly people has increased, the number of elderly patients who need emergency operations has also increased. Although there are many models to evaluate the risk of surgery in elderly patients, they all are associated with limitations. We herein evaluated the prognostic factors for surgical mortality in elderly patients more than 80 years old who needed emergency operations. Methods: A total of 171 patients more than 80 years old underwent emergency operations from January 2001 to December 2012. Among them, 79 patients with acute cholecystitis, panperitonitis and intestinal obstruction with strangulation, which included mortality cases, were included. We retrospectively reviewed the medical records of the patients and analyzed the prognostic factors for surgical mortality. Results: Forty-eight patients had a co-morbidity. Thirty-one patients initially had systemic inflammatory response syndrome. There were 27 surgical mortality cases. A univariate analysis revealed that panperitonitis, a positive blood culture and the level of albumin were significant prognostic factors predicting a worse prognosis. However, a multivariate analysis revealed that a serum albumin level more than 3.5 g/dL was the only significant prognostic factor (p = 0.037). Conclusion: Surgeons cannot fully evaluate the risk of emergency operation cases. However, our data indicate that if patients do not show hypoalbuminemia, the surgeon may be able to perform an emergency operation without a high risk of surgical mortality.

Original languageEnglish
Pages (from-to)241-247
Number of pages7
JournalSurgery Today
Volume46
Issue number2
DOIs
Publication statusPublished - 2016 Feb 1

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Emergencies
Safety
Mortality
Systemic Inflammatory Response Syndrome
Hypoalbuminemia
Acute Cholecystitis
Intestinal Obstruction
Serum Albumin
Medical Records
Albumins
Multivariate Analysis
Morbidity

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Park, Seon Young ; Chung, Jae Sik ; Kim, Sung Hoon ; Kim, YoungWan ; Ryu, Hoon ; Kim, Dong Hyun. / The safety and prognostic factors for mortality in extremely elderly patients undergoing an emergency operation. In: Surgery Today. 2016 ; Vol. 46, No. 2. pp. 241-247.
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The safety and prognostic factors for mortality in extremely elderly patients undergoing an emergency operation. / Park, Seon Young; Chung, Jae Sik; Kim, Sung Hoon; Kim, YoungWan; Ryu, Hoon; Kim, Dong Hyun.

In: Surgery Today, Vol. 46, No. 2, 01.02.2016, p. 241-247.

Research output: Contribution to journalArticle

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AU - Ryu, Hoon

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N2 - Purpose: As the number of elderly people has increased, the number of elderly patients who need emergency operations has also increased. Although there are many models to evaluate the risk of surgery in elderly patients, they all are associated with limitations. We herein evaluated the prognostic factors for surgical mortality in elderly patients more than 80 years old who needed emergency operations. Methods: A total of 171 patients more than 80 years old underwent emergency operations from January 2001 to December 2012. Among them, 79 patients with acute cholecystitis, panperitonitis and intestinal obstruction with strangulation, which included mortality cases, were included. We retrospectively reviewed the medical records of the patients and analyzed the prognostic factors for surgical mortality. Results: Forty-eight patients had a co-morbidity. Thirty-one patients initially had systemic inflammatory response syndrome. There were 27 surgical mortality cases. A univariate analysis revealed that panperitonitis, a positive blood culture and the level of albumin were significant prognostic factors predicting a worse prognosis. However, a multivariate analysis revealed that a serum albumin level more than 3.5 g/dL was the only significant prognostic factor (p = 0.037). Conclusion: Surgeons cannot fully evaluate the risk of emergency operation cases. However, our data indicate that if patients do not show hypoalbuminemia, the surgeon may be able to perform an emergency operation without a high risk of surgical mortality.

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