Mortality after abdominal emergency surgery in nonagenarians

Perregaard, Helene; Tenma, Jutaka; Antonsen, Jacob; Mynster, Tommie

doi:10.1007/s00068-019-01247-6

Cited by 7 publications

(19 citation statements)

References 26 publications

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“…In human medicine, the most common procedures performed in the emergency setting are intestinal surgeries [2,11,19]. We found similar results, but, whereas the most common indication for humans are intestinal obstruction caused by adhesions or neoplasia [2,10,11,19], gastrointestinal foreign body causing mechanical obstruction was the most common indication for surgery in the present study, which is in accordance with previous research in gastrointestinal emergencies in dogs [20,21].…”

Section: Discussionsupporting

confidence: 92%

“…The documented overall mortality rate in human medicine for patients undergoing emergency abdominal surgery varies from 11 to 23 % [2-7] and can be as high as 35 -45% in the elderly population [8,11]. The 15-day mortality rate in this study was 20.7%.…”

Section: Discussionmentioning

confidence: 64%

“…In the present study 6 dogs developed pulmonary complications, 2 of them pulmonary thromboembolic disease diagnosed at necropsy. Pulmonary complications were not individually analysed for associations with mortality due to low number of cases, but the development of major complications after surgery was associated with mortality (P < 0.001), as has been found in human medicine [11,13]. In human medicine it has also been demonstrated that the development of postoperative complications not only increases mortality in the immediate risk period, but also worsens long-term mortality [60].…”

Section: Discussionmentioning

confidence: 99%

“…Anorexia was significantly correlated with age, adult and old dogs were 3.7 and 13.7 times, respectively, more prone to develop anorexia in comparison to young dogs (<2 years). In human medicine, it is well known that increasing age is a risk factor for postoperative ileus [11,62]. Postoperative ileus could not be evaluated because the retrospective nature of the study, but it is possible that one of the reasons of anorexia high prevalence in elderly patients is related to postoperative ileus.…”

Section: Discussionmentioning

confidence: 99%

“…Emergency abdominal surgery carries an overall high risk of mortality, with rates of 11-23% commonly reported in human medicine [2][3][4][5][6][7]. Causes for these high mortality rates are multifactorial and different risk factors for death have been reported, including age [1][2][3][8][9][10][11], American Society of Anaesthesiology (ASA) classification [2,3,9,[11][12][13], preoperative comorbidities [8,14], diagnosis [2,13], presence of sepsis, disseminated cancer [1,2] and development of complications [11,13].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020)

Fages¹,

Soler²,

Fernandez‐Salesa³

et al. 2021

Preprint

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Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterizing the outcome of these surgeries as a single group in dogs. The aim of the study was to characterize the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was gastrointestinal foreign body. Overall 15-day mortality rate was 20.7% (17/82). Median (range) length of hospitalization was 3 (0.5 - 15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) minor complications. Perioperative factors significantly associated with death included tachycardia (P &lt; 0.001), hypothermia (P &lt; 0.001), lactate acidosis (P &lt; 0.001), shock index &gt; 1 (P &lt; 0.001), leukopenia (P &lt; 0.001), thrombocytopenia (P &lt; 0.001) at admission; intraoperative hypotension (P &lt; 0.001) and perioperative use of blood products (P &lt; 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

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