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논문 기본 정보

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학술저널
저자정보
Nadir Adnan Hacım (Department of General Surgery Bagcilar Training and Research Hospital Istanbul Turkey) Ahmet Akbaş (Department of General Surgery Bagcilar Training and Research Hospital Istanbul Turkey) Yigit Ulgen (Department of Pathology Bagcilar Training and Research Hospital Istanbul Turkey) Talar Vartanoglu Aktokmakyan (Department of General Surgery Bagcilar Training and Research Hospital Istanbul Turkey) Serhat Meric (Department of Pathology Bagcilar Training and Research Hospital Istanbul Turkey) Merve Tokocin (Department of General Surgery Bagcilar Training and Research Hospital Istanbul Turkey) Onder Karabay (Department of General Surgery Beykent University Istanbul Turkey) Gulcin Ercan (Department of General Surgery Istanbul Bagcilar Training and Research Hospital Istanbul Turkey) Yuksel Altinel (Department of General Surgery Istanbul Bagcilar Training and Research Hospital Istanbul Turkey)
저널정보
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.25 No.4
발행연도
2021.12
수록면
252 - 259 (8page)
DOI
10.4235/agmr.21.0104

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Background: Older patients undergoing emergency laparotomy have high morbidity and mortality rates. Preoperative risk assessment with good predictors is an appropriate measure in this population. Frailty status is significantly associated with postoperative outcomes in older adults. This study aimed to investigate the effect of preoperative risk factors and frailty on short-term outcomes following emergency surgery for acute abdomen in older patients. Methods: This study included older patients (≥65 years of age) who underwent emergency abdominal surgery. We retrospectively analyzed their demographic and clinical variables and used the modified Frailty Index-11 to evaluate their frailty status. The primary outcome was the 30-day mortality rate. We also analyzed risk factors of mortality in these patients. Results: The study included 150 patients with a median age of 74 years. The mortality rate was 17.3% (n=26). We observed significantly higher mortality rates in patients who were obese and who had higher American Society of Anesthesiology (ASA grades) (p<0.05). Frailty status was worse in deceased group (p<0.001), when compared to individuals who survived. Septic shock was associated with the development of mortality (p<0.001). Multivariate regression analysis revealed that ASA grade was the only independent risk factor for mortality (odds ratio=19.642; 95% confidence interval, 3.886?99.274; p<0.001). Conclusion: Older patients with obesity and frailty presenting with higher ASA grades and septic shock had the worst survival following emergency abdominal surgery. The ASA grade was an independent risk factor for mortality.
#Acute abdomen #Aged #Frailty #Mortality rate

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참고문헌 (24)

참고문헌 신청
Aburto JM / 2020 / Dynamics of life expectancy and life span equality / Proc Natl Acad Sci U S A 117:5250~5259 google schola Chua M / 2020 / Increased morbidity and mortality of emergency laparotomy in elderly patients / World J Surg 44:711~720 google schola Aitken RM / 2020 / Older patients undergoing emergency laparotomy : observations from the National Emergency Laparotomy Audit(NELA)years 1-4 / Age Ageing 49:656~663 google schola Sharrock AE / 2017 / Emergency abdominal surgery in the elderly : can we predict mortality / World J Surg 41:402~409 google schola Ozban M / 2015 / The analysis of scoring systems predicting mortality in geriatric emergency abdominal surgery / Ulus Travma Acil Cerrahi Derg 21:182~186 google schola

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