Emergency surgery in octogenarians: Outcomes and factors affecting mortality in the general hospital setting.

摘要: AIM The Western world has an expanding older population, who are living longer with increasing numbers of comorbidities. In addition, expectations patients and relatives increasing. As a general hospital operating in rural setting, our University Hospital Kerry, Tralee, Ireland, deals significant number emergency presentations to the acute surgical service. aim present study was examine outcomes for extremes age requiring procedures. METHODS A retrospective review theater admission logs carried out identify all surgeries from January 2008 December 2015. All aged >80 years at time surgery were identified. Details recorded, addition biochemical hematological data, use intensive care unit, length stay mortality. RESULTS total, 128 octogenarians underwent surgery. average patient 84.3 years (range 80-94 years). commonest procedures laparotomy (65%, n = 84), repair strangulated/incarcerated hernia (18%, = 23) laparoscopic (16%, = 21). 30-day all-cause mortality 22.6%. On multivariate analysis, American Society Anesthesia status unit utilization predicted (P = 0.04 0.05, respectively). total 82 required admission, 4.8 days, using 484 bed days total. CONCLUSIONS Emergency is part workload surgeons. Poor baseline associated increased risk adults only utilizes fraction available resources. Geriatr Gerontol Int 2018; 18: 1211-1214.