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How Do Patients Aged 85 and Older Fare with Abdominal Surgery?
OBJECTIVES: To review the outcomes of patients aged 85 and older after abdominal surgery in terms of mortality, morbidity, and change in residential status and to analyze factors predicting such outcomes. DESIGN: Retrospective clinical cohort study. SETTING: A tertiary regional hospital in Victoria,...
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| Published in: | Journal of the American Geriatrics Society (JAGS) 2010-01, Vol.58 (1), p.104-108 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 58 |
| creator | Mirbagheri, Naseem Dark, Jonathan G. Watters, David A. K. |
| description | OBJECTIVES: To review the outcomes of patients aged 85 and older after abdominal surgery in terms of mortality, morbidity, and change in residential status and to analyze factors predicting such outcomes.
DESIGN: Retrospective clinical cohort study.
SETTING: A tertiary regional hospital in Victoria, Australia.
PARTICIPANTS: One hundred seventy‐nine patients aged 85 and older who had abdominal surgery between 1998 and 2008.
MEASUREMENTS: Mortality, complications (morbidity), and change in residential status.
RESULTS: The patient sample had a mean age of 88.6, a mortality rate of 17.3%, and a morbidity rate of 62.8%. Approximately two‐thirds (64%) of all abdominal surgeries were emergency surgeries. Factors predicting mortality included American Society of Anesthesiologists (ASA) score and premorbid residential status. Risk factors predicting severity of complications were ASA score and emergency surgery. Significant factors contributing to change in residential status were ASA score and severity of complications. Age, sex, and number of comorbidities were not significant factors.
CONCLUSION: Patients aged 85 and older experienced mortality rates of 17.3% after abdominal surgery. ASA score and premorbid residential status appear to be more important than age in determining risk for abdominal surgery in older persons. |
| doi_str_mv | 10.1111/j.1532-5415.2009.02612.x |
| format | article |
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DESIGN: Retrospective clinical cohort study.
SETTING: A tertiary regional hospital in Victoria, Australia.
PARTICIPANTS: One hundred seventy‐nine patients aged 85 and older who had abdominal surgery between 1998 and 2008.
MEASUREMENTS: Mortality, complications (morbidity), and change in residential status.
RESULTS: The patient sample had a mean age of 88.6, a mortality rate of 17.3%, and a morbidity rate of 62.8%. Approximately two‐thirds (64%) of all abdominal surgeries were emergency surgeries. Factors predicting mortality included American Society of Anesthesiologists (ASA) score and premorbid residential status. Risk factors predicting severity of complications were ASA score and emergency surgery. Significant factors contributing to change in residential status were ASA score and severity of complications. Age, sex, and number of comorbidities were not significant factors.
CONCLUSION: Patients aged 85 and older experienced mortality rates of 17.3% after abdominal surgery. ASA score and premorbid residential status appear to be more important than age in determining risk for abdominal surgery in older persons.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2009.02612.x</identifier><identifier>PMID: 20122043</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Abdomen - surgery ; Abdominal surgery ; Age ; Age Factors ; Aged, 80 and over ; Biological and medical sciences ; Clinical outcomes ; Cohort Studies ; complications ; Epidemiology ; Female ; General aspects ; Hospitals ; Humans ; Male ; Medical sciences ; Miscellaneous ; Morbidity ; Mortality ; Older people ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; Reviews ; Risk Factors ; surgery ; Treatment Outcome</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2010-01, Vol.58 (1), p.104-108</ispartof><rights>2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society</rights><rights>2015 INIST-CNRS</rights><rights>Journal compilation 2010 The American Geriatrics Society/Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5452-a52a5960a7dab17867d09aa4af51bea817d73cea3e53ee28d9f41fac1605884a3</citedby><cites>FETCH-LOGICAL-c5452-a52a5960a7dab17867d09aa4af51bea817d73cea3e53ee28d9f41fac1605884a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22314630$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20122043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mirbagheri, Naseem</creatorcontrib><creatorcontrib>Dark, Jonathan G.</creatorcontrib><creatorcontrib>Watters, David A. K.</creatorcontrib><title>How Do Patients Aged 85 and Older Fare with Abdominal Surgery?</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVES: To review the outcomes of patients aged 85 and older after abdominal surgery in terms of mortality, morbidity, and change in residential status and to analyze factors predicting such outcomes.
DESIGN: Retrospective clinical cohort study.
SETTING: A tertiary regional hospital in Victoria, Australia.
PARTICIPANTS: One hundred seventy‐nine patients aged 85 and older who had abdominal surgery between 1998 and 2008.
MEASUREMENTS: Mortality, complications (morbidity), and change in residential status.
RESULTS: The patient sample had a mean age of 88.6, a mortality rate of 17.3%, and a morbidity rate of 62.8%. Approximately two‐thirds (64%) of all abdominal surgeries were emergency surgeries. Factors predicting mortality included American Society of Anesthesiologists (ASA) score and premorbid residential status. Risk factors predicting severity of complications were ASA score and emergency surgery. Significant factors contributing to change in residential status were ASA score and severity of complications. Age, sex, and number of comorbidities were not significant factors.
CONCLUSION: Patients aged 85 and older experienced mortality rates of 17.3% after abdominal surgery. ASA score and premorbid residential status appear to be more important than age in determining risk for abdominal surgery in older persons.</description><subject>Abdomen - surgery</subject><subject>Abdominal surgery</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>complications</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Older people</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Reviews</subject><subject>Risk Factors</subject><subject>surgery</subject><subject>Treatment Outcome</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkV9v0zAUxS0EYmXjKyALCfGUcP0vdh5gqgbrmMY2qSAerdvEGSlpMuxEbb89Du2KtBfwg30l_87VvecQQhmkLJ53y5QpwRMlmUo5QJ4CzxhPN0_I5PDxlEwAgCcmY_KIvAhhCcA4GPOcHPFYcZBiQj5cdGv6saO32Neu7QOd3rmSGkWxLelNUzpPz9E7uq77H3S6KLtV3WJD54O_c357ekKeVdgE93L_HpNv55--nl0kVzezz2fTq6RQUvEEFUeVZ4C6xAXTJtMl5IgSK8UWDg3TpRaFQ-GUcI6bMq8kq7BgGShjJIpj8nbX9953vwYXeruqQ-GaBlvXDcHmwIVUJt7_IrUQGTM6Y5F8_YhcdoOP2wXLGQgDWpkImR1U-C4E7yp77-sV-q1lYMcs7NKOltvRcjtmYf9kYTdR-mrff1isXHkQPpgfgTd7AEOBTeWxLerwl-OCyUxA5N7vuHXduO1_D2AvZ_Oxivpkp69D7zYHPfqfNtNCK_v9emYvQen5LZ_ZL-I30lavkw</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Mirbagheri, Naseem</creator><creator>Dark, Jonathan G.</creator><creator>Watters, David A. K.</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>201001</creationdate><title>How Do Patients Aged 85 and Older Fare with Abdominal Surgery?</title><author>Mirbagheri, Naseem ; Dark, Jonathan G. ; Watters, David A. K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5452-a52a5960a7dab17867d09aa4af51bea817d73cea3e53ee28d9f41fac1605884a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdomen - surgery</topic><topic>Abdominal surgery</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>complications</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Older people</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Reviews</topic><topic>Risk Factors</topic><topic>surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mirbagheri, Naseem</creatorcontrib><creatorcontrib>Dark, Jonathan G.</creatorcontrib><creatorcontrib>Watters, David A. K.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mirbagheri, Naseem</au><au>Dark, Jonathan G.</au><au>Watters, David A. K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How Do Patients Aged 85 and Older Fare with Abdominal Surgery?</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2010-01</date><risdate>2010</risdate><volume>58</volume><issue>1</issue><spage>104</spage><epage>108</epage><pages>104-108</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVES: To review the outcomes of patients aged 85 and older after abdominal surgery in terms of mortality, morbidity, and change in residential status and to analyze factors predicting such outcomes.
DESIGN: Retrospective clinical cohort study.
SETTING: A tertiary regional hospital in Victoria, Australia.
PARTICIPANTS: One hundred seventy‐nine patients aged 85 and older who had abdominal surgery between 1998 and 2008.
MEASUREMENTS: Mortality, complications (morbidity), and change in residential status.
RESULTS: The patient sample had a mean age of 88.6, a mortality rate of 17.3%, and a morbidity rate of 62.8%. Approximately two‐thirds (64%) of all abdominal surgeries were emergency surgeries. Factors predicting mortality included American Society of Anesthesiologists (ASA) score and premorbid residential status. Risk factors predicting severity of complications were ASA score and emergency surgery. Significant factors contributing to change in residential status were ASA score and severity of complications. Age, sex, and number of comorbidities were not significant factors.
CONCLUSION: Patients aged 85 and older experienced mortality rates of 17.3% after abdominal surgery. ASA score and premorbid residential status appear to be more important than age in determining risk for abdominal surgery in older persons.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20122043</pmid><doi>10.1111/j.1532-5415.2009.02612.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2010-01, Vol.58 (1), p.104-108 |
| issn | 0002-8614 1532-5415 |
| language | eng |
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| source | Wiley |
| subjects | Abdomen - surgery Abdominal surgery Age Age Factors Aged, 80 and over Biological and medical sciences Clinical outcomes Cohort Studies complications Epidemiology Female General aspects Hospitals Humans Male Medical sciences Miscellaneous Morbidity Mortality Older people Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Reviews Risk Factors surgery Treatment Outcome |
| title | How Do Patients Aged 85 and Older Fare with Abdominal Surgery? |
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