Analysis of prognostic factors for postoperative complications and mortality in elderly patients undergoing emergency surgery for intestinal perforation or irreversible intestinal ischemia.
Aged
Mortality
Peritonitis
Postoperative complications
Risk factors
Journal
Annals of surgical treatment and research
ISSN: 2288-6575
Titre abrégé: Ann Surg Treat Res
Pays: Korea (South)
ID NLM: 101622895
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
11
07
2023
revised:
17
08
2023
accepted:
23
08
2023
medline:
1
11
2023
pubmed:
1
11
2023
entrez:
1
11
2023
Statut:
ppublish
Résumé
Because the global geriatric population continues to increase, the assessment of emergency surgical outcomes in elderly patients with acute peritonitis will become more important. A retrospective review was conducted on the data of 174 elderly patients who underwent emergency surgery for intestinal perforation or intestinal infarction between June 2010 and November 2022. We conducted an analysis of the risk factors associated with postoperative complications and mortality by evaluating the characteristics of patients and their surgical outcomes. In our study, most patients (94.3%) had preexisting comorbidities, and many patients (84.5%) required transfer to the intensive care unit following emergency surgery. Postoperative complications were observed in 84 individuals (48.3%), with postoperative mortality occurring in 29 (16.7%). Multivariate analysis revealed preoperative acute renal injury, hypoalbuminemia, and postoperative ventilator support as significant predictors of postoperative mortality. When elderly patients undergo emergency surgery for intestinal perforation or infarction, it is important to recognize that those with preoperative acute renal injury, hypoalbuminemia, and a need for postoperative ventilator support have a poor prognosis. Therefore, these patients require intensive care from the early stages of treatment.
Identifiants
pubmed: 37908381
doi: 10.4174/astr.2023.105.4.198
pmc: PMC10613825
doi:
Types de publication
Journal Article
Langues
eng
Pagination
198-206Informations de copyright
Copyright © 2023, the Korean Surgical Society.
Déclaration de conflit d'intérêts
Conflict of Interest: No potential conflict of interest relevant to this article was reported.
Références
J Gerontol B Psychol Sci Soc Sci. 2011 Jan;66(1):75-86
pubmed: 21135070
Eur J Trauma Emerg Surg. 2020 Jun;46(3):539-547
pubmed: 29785655
BMC Geriatr. 2016 Aug 31;16(1):157
pubmed: 27580947
Ann Intern Med. 2001 Apr 17;134(8):637-43
pubmed: 11304103
Nat Rev Nephrol. 2011 Apr;7(4):189-200
pubmed: 21364518
Br J Anaesth. 2007 Dec;99(6):824-9
pubmed: 17959590
Ann Surg. 2003 Mar;237(3):319-34
pubmed: 12616115
J Gastric Cancer. 2015 Dec;15(4):286-9
pubmed: 26819808
J Gastric Cancer. 2012 Dec;12(4):237-42
pubmed: 23346496
Am J Surg. 1982 Jun;143(6):751-4
pubmed: 7091511
Surg Laparosc Endosc Percutan Tech. 2015 Aug;25(4):331-6
pubmed: 25799260
Can J Surg. 2003 Apr;46(2):111-6
pubmed: 12691347
Surg Endosc. 2011 Dec;25(12):3838-44
pubmed: 21656323
World J Emerg Surg. 2012 May 11;7(1):12
pubmed: 22578159
Clin Biochem Rev. 2016 May;37(2):85-98
pubmed: 28303073
Shock. 2014 Jan;41(1):3-11
pubmed: 24346647
Surg Today. 2016 Feb;46(2):241-7
pubmed: 25788220
Surg Clin North Am. 1994 Feb;74(1):23-39
pubmed: 8108769
World J Emerg Surg. 2007 Jun 05;2:16
pubmed: 17550623
JPEN J Parenter Enteral Nutr. 2013 Jan;37(1):37-43
pubmed: 22549764
J Gastric Cancer. 2016 Mar;16(1):43-50
pubmed: 27104026
Ann Surg. 2009 Aug;250(2):197-8
pubmed: 19638901
Br J Anaesth. 1998 Jun;80(6):776-81
pubmed: 9771307
Urology. 2011 Apr;77(4):871-6
pubmed: 21256563
Best Pract Res Clin Anaesthesiol. 2009 Jun;23(2):183-91
pubmed: 19653438
Surg Laparosc Endosc Percutan Tech. 2012 Apr;22(2):122-6
pubmed: 22487624
World J Gastrointest Surg. 2013 Jul 27;5(7):216-21
pubmed: 23894689
Crit Care. 2007;11(2):R31
pubmed: 17331245