Clinical analysis of operations for super-elderly patients aged over 90 years

We evaluated the clinical usefulness of the preoperative risk assessment models in emergency gastrointestinal surgeries in elderly patients: the physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM), its Portsmouth (P-POSSUM) modification, the estimation of physiologic ability and surgical stress (E-PASS), the systemic inflammatory response syndrome (SIRS) and the quick sepsis-related organ failure assessment (qSOFA) score. Materials and Methods: A total of 107 elderly patients over 90 years of age, who underwent emergency gastrointestinal surgeries in our hospital between April 2013 and March 2018, were enrolled in this retrospective study. The morbidity and mortality risks were assessed using these models. Results: The reasons for emergency surgery in this study were strangulated intestinal obstruction (29.0%), strangulated hernia (17.8%), bowel perforation (16.8%) and acute appendicitis (12.0%). Postoperative complications were observed in 61 patients (57.0%) including 7 (6.5%) in-hospital deaths. Ninety patients (84.1%) returned to the same level of activity after discharge. There were statistically significant differences in the following three scores; the preoperative risk score (P=0.008) and comprehensive risk score (P=0.015) of the E-PASS score, and the SIRS score (P=0.045) between patients who died in the hospital and those who survived. Conclusions: The preoperative risk score and comprehensive risk score of the E-PASS score, and the SIRS score seemed to be useful for preoperative risk assessment of emergency gastrointestinal surgeries in patients over the age of 90.

show abstract

Preoperative Risk Assessement of Emergency Gastrointestinal Surgeries in Elderly Patients over 90 Years of Age

Uotani

Nishida

Odagiri

et al. 2020

Jpn J Gastroenterol Surg, Nihon Shokaki Geka Gakkai zasshi

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Clinical analysis of operations for super-elderly patients aged over 90 years

Cited by 1 publication

References 2 publications

Preoperative Risk Assessement of Emergency Gastrointestinal Surgeries in Elderly Patients over 90 Years of Age

Preoperative Risk Assessement of Emergency Gastrointestinal Surgeries in Elderly Patients over 90 Years of Age

Contact Info

Product

Resources

About