Mortality and surgical risk assessment among the extreme old undergoing emergency surgery

Acute kidney injury among nonagenarians in Jordan: a retrospective case–control study

“…Cardiac events and ACS were other major causes for admission in 14.2%. Receiving full management with catheterization, stenting, 23 and cardiac surgery 24,25 is considered debatable for older individuals, even among members of the medical field who commonly treat nonagenarians.…”

Risk Factors for Mortality and Morbidity in Elderly Patients Presenting with Digestive Surgical Emergencies

“…Assessing the risk of a surgical procedure is difficult when considering frail elderly patients with life‐threatening abdominal emergencies, and several scores have been used to help estimate the mortality risk [2, 8, 9, 12, 13, 15, 18, 20–23, 28, 30, 33]. The ASA score is the most commonly used and was found to be correlated to mortality in many studies [8, 12, 20–23].…”

“…Arenal et al [8] reported that ''we are treating, in life-threatening conditions, some elderly patients who have been rejected for elective surgery on the basis of overestimated risk.'' It is sometimes difficult to decide whether emergency surgery is a viable option for these patients [9]. Several prognostic scores have been used in the emergency setting.…”

“…However, elderly patients presenting with acute abdominal issues who require emergency surgery have higher mortality and morbidity rates than patients undergoing elective surgery. Arenal et al [8] reported that “we are treating, in life‐threatening conditions, some elderly patients who have been rejected for elective surgery on the basis of overestimated risk.” It is sometimes difficult to decide whether emergency surgery is a viable option for these patients [9]. Several prognostic scores have been used in the emergency setting.…”

The Analysis of Scoring Systems Predicting Mortality in Geriatric Emergency Abdominal Surgery

“…[8] Therefore, P-POSSUM scoring system designed and used successfully for high risk group of patients. [9] However, in a study evaluating gastrointestinal surgery in elderly patients, both the POSSUM and P-POS-SUM over-predicted the morbidity and mortality. [10] Similarly, in our study, P-POSSUM scoring system overpredicted the mortality rates when compared with other scoring systems according to both linear analysis and O:E results (Tables 3, 4).…”