Analysis of 600 Major Operations in Patients Over 70 Years of Age

Herron, Paul W.; Jesseph, John E.; Harkins, Henry N.

doi:10.1097/00000658-196010000-00012

Cited by 55 publications

(21 citation statements)

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“…The mortality for perforated duodenal ulcer was 23.1 per cent in 13 cases. Herron et al (1960) quoted an overall mortality of 62 per cent for primary closure of perforated ulcer in patients over 70 years, and Tanner (1943) gave a n identical figure for simple closure of perforated ulcer in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

“…In the larger series of Wolff and Hindman (1952) there was a 4.5 per cent mortality, but these patients were again in the younger age group of 60 years and over. In 22 patients over 70 years with acute appendicitis Herron et al (1960) reported a mortality of 13.6 per cent. It must be emphasized that acute appendicitis in the elderly is a relatively uncommon condition.…”

Section: Discussionmentioning

confidence: 99%

“…The mortality in the present series was 19.0 per cent in 21 patients with acute biliary tract disease. Herron et al (1960) reported a mortality of 22.9 per cent in 61 patients over the age of 70 years with acute biliary tract disease who underwent emergency surgery compared with one of 7.8 per cent in 103 patients who underwent elective cholecystectomy. In a study of mortality rates in biliary tract surgery Glenn and Hays (1955) reported a mortality of 10.9 per cent in emergency biliary tract surgery as opposed t o 4.4 per cent in elective surgery in patients over the age of 65 years.…”

Section: Discussionmentioning

confidence: 99%

“…The mortality in our series for bleeding gastric ulcer (46.2 per cent) is comparable to the findings of others. Herron et al (1960) cited a mortality of 45 per cent for emergency gastrectomy in patients over the age of 70 years. However, Cocks et al (1972) reported a 26 per cent mortality in 213 patients over 60 years who underwent emergency gastrectomy for bleeding gastric or duodenal ulcer.…”

Section: Discussionmentioning

confidence: 99%

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Emergency abdominal surgery in the aged

Blake

Lynn

1976

Journal of British Surgery

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SUMMARYThe results of 375 emergency abdominal operations in elderly patients over the age of 75 years are presented and discussed in detail. There has been a fourfold increase in the population over the age of 75 years in England and Wales during the 60-year period from 1911 to 1971. The overall mortality of these patients of 31.7per cent is unrelated to the age of the patient, but appears to be directly related to the severity of the surgical condition and to cardiorespiratory complications. Our approach to these problems is presented and discussed.THE widespread application of preventive medicine and improved medical resources in the twentieth century has resulted in an increase in the number of elderly people in our community. In certain areas this is accentuated by an influx of retired people. Bournemouth is such a 'retirement' area as demonstrated by the 1971 census which showed a total population of 183332 with 19339 people over the age of 75 years (Office of Population Censuses and Surveys, 1973). This represents 10.5 per cent of the local population. In comparison with the national figures this is twice the average (Office of Population Censuses and Surveys, 1975). Because of the large numbers of elderly people in our local community we decided to study the results of emergency abdominal surgery in patients over the age of 75 years. PatientsWe have defined a case as an emergency if it was deemed deleterious to the patient to delay surgery until the next routine operating list. The age limit of 75 years was taken arbitrarily, as we considered anyone over the age of 75 years represented a geriatric patient. The cases were collected from the theatre operation registers and included both public and private patients who were admitted to the Royal Victoria Hospital, Bournemouth. During the 6)-year period from January 1969 to March 1975,392emergency abdominal operations were performed on patients over the age of 75 years. Of these, the case records were obtained for 375 operations, representing a retrieval rate of 95.7 per cent. Using a prepared pro forma, a retrospective examination of the notes was undertaken with regard to the patients' age, sex, general clinical condition, details of operation, complications and mortality. A period of 30 days following operation was taken as an arbitrary figure in which morbidity and mortality resulting from surgery were considered likely to occur.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Emergency abdominal surgery in the aged

Blake

Lynn

1976

Journal of British Surgery

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“…Undertreatment of cancer has been rife, irrespective of tumour site and the discipline of the clinician looking after the patient. (Herron et al, 1960). Under these circumstances the operative mortality was 33%, and 62% of patients developed postoperative complications.…”

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confidence: 90%

Treatment of cancer in the elderly

Fentiman¹

1991

Br J Cancer

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Within the European community more than a million individuals develop cancer every year (Moller Jensen et al., 1990). Of these cases, over 50% will be aged over 70 years and this proportion will gradually increase as a result of longevity since age is a major risk determinant for malignancy. Despite the frequency of cancer in the elderly, treatment has often been given on an ad hoc basis and very rarely have structured management schemes been tested in prospective randomised trials. Undertreatment of cancer has been rife, irrespective of tumour site and the discipline of the clinician looking after the patient.

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Head and Neck Surgery in Patients Past 70

Loewy¹,

Huttner²

1966

Archives of Otolaryngology - Head and Neck Surgery

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Analysis of 600 Major Operations in Patients Over 70 Years of Age

Cited by 55 publications

References 4 publications

Emergency abdominal surgery in the aged

Emergency abdominal surgery in the aged

Treatment of cancer in the elderly

Head and Neck Surgery in Patients Past 70

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