Association of Preoperative Risk Factors and Mortality in Older Patients following Emergency Abdominal Surgery: A Retrospective Cohort Study

• Published in: Annals of geriatric medicine and research 2021, 25(4), , pp.252-259
• Main Authors: Hacım, Nadir Adnan, Akbaş, Ahmet, Ulgen, Yigit, Aktokmakyan, Talar Vartanoglu, Meric, Serhat, Tokocin, Merve, Karabay, Onder, Ercan, Gulcin, Altinel, Yuksel
• Format: Article
• Language: English
• Subjects: acute abdomen; aged; frailty; mortality rate; Original; 가정의학
• ISSN: 2508-4798; 2508-4909
• DOI: 10.4235/agmr.21.0104

Older patients undergoing emergency laparotomy have high morbidity and mortality rates. Preoperative risk assessment with good predictors is an appropriate measure in this population. Frailty status is significantly associated with postoperative outcomes in older adults. This study aimed to investigate the effect of preoperative risk factors and frailty on short-term outcomes following emergency surgery for acute abdomen in older patients. This study included older patients (≥65 years of age) who underwent emergency abdominal surgery. We retrospectively analyzed their demographic and clinical variables and used the modified Frailty Index-11 to evaluate their frailty status. The primary outcome was the 30-day mortality rate. We also analyzed risk factors of mortality in these patients. The study included 150 patients with a median age of 74 years. The mortality rate was 17.3% (n=26). We observed significantly higher mortality rates in patients who were obese and who had higher American Society of Anesthesiology (ASA grades) (p