Outcomes of Surgery in Patients 90 Years of Age and Older

摘要: During the 11-year period 1975 through 1985, seven hundred ninety-five patients 90 years of age and older underwent operative procedures at Mayo Clinic, Rochester, Minn. Overall serious morbidity within 48 hours after surgery was 9.4%, mortality 1.6%. The 30-day, 1-year, 5-year rates were 8.4%, 31.4%, 78.8%, respectively. Short-term both short- long-term highly associated with American Society Anesthesiologists physical status classification patient. Emergency carried a significantly higher risk for 48-hour and, to lesser extent, mortality. Overall, poorer patient survival class; male sex; preoperative renal, liver, central nervous system impairment; on mouth, nose, or pharynx. When compared age-, sex-, calendar Year-matched peers from general population, there modest decrease in 1 year that reversed by 2 years, observed 5 comparable rate expected. ( JAMA . 1989;261:1909-1915)