The outcomes of the elderly in acute care general surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-04-08

AUTHORS

E. St-Louis, M. Sudarshan, M. Al-Habboubi, M. El-Husseini Hassan, D. L. Deckelbaum, T. S. Razek, L. S. Feldman, K. Khwaja

ABSTRACT

IntroductionElderly patients form a growing subset of the acute care surgery (ACS) population. Older age may be associated with poorer outcomes for some elective procedures, but there are few studies focusing on outcomes for the elderly ACS population. Our objective is to characterize differences in mortality and morbidity for acute care surgery patients >80 years old.MethodsA retrospective review of all ACS admissions at a large teaching hospital over 1 year was conducted. Patients were classified into non-elderly (<80 years old) and elderly (≥80 years old). In addition to demographic differences, outcomes including care efficiency, mortality, postoperative complications, and length of stay were studied. Data analysis was completed with the Student’s t test for continuous variables and Fisher’s exact test for categorical variables using STATA 12 (College Station, TX, USA).ResultsWe identified 467 non-elderly and 60 elderly patients with a mean age-adjusted Charlson score of 3.2 and 7.2, respectively (p < 0.001) and a mortality risk of 1.9 and 11.7 %, respectively (p < 0.001). The elderly were at risk of longer duration (>4 days) hospital stay (p = 0.05), increased postoperative complications (p = 0.002), admission to the ICU (p = 0.002), and were more likely to receive a non-operative procedure (p = 0.003). No difference was found (p = NS) for patient flow factors such as time to consult general surgery, time to see consult by general surgery, and time to operative management and disposition.ConclusionsCompared to younger patients admitted to an acute care surgery service, patients over 80 years old have a higher risk of complications, are more likely to require ICU admission, and stay longer in the hospital. More... »

PAGES

107-113

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00068-015-0517-9

DOI

http://dx.doi.org/10.1007/s00068-015-0517-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049366734

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26038035


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