EMERGENCY PRESENTATION AND MORTALITY FROM COLORECTAL-CANCER IN THE ELDERLY
EMERGENCY PRESENTATION AND MORTALITY FROM COLORECTAL-CANCER IN THE ELDERLY
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DOI：
10.1002/bjs.1800730320
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发表时间：
1986-03-01
影响因子：
9.6
通讯作者：
TEDMAN, S
中科院分区：
文献类型：
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作者：
WALDRON, RP;DONOVAN, IA;TEDMAN, S
我们评估了年龄对1033例结直肠癌患者的表现方式和围手术期死亡率的影响。70岁以上的病人有522名（51%）（第一组），70岁以下的病人有511名（49%）（第二组）。在第一组中，301名患者（58%）是急诊入院的，而第二组只有222名患者（43%）（P < 0.001）。老年急症的围手术期死亡率特别高，为38%，而择期手术的围手术期死亡率为18%。在这两个年龄组的急诊病人中，66%的病人患有局部“可能治愈”的疾病。大肠癌的发病率在老年人中最高。这些老年病人中有许多是急诊病人，死于局部疾病的并发症。因此，这些老年患者尤其需要通过症状前筛查进行早期诊断。
We have assessed the influence of age on the mode of presentation and perioperative mortality in 1033 patients with colorectal cancer. There were 522 patients (51 per cent) over 70 years (group I) and 511 patients (49 per cent) under 70 (group II). In group I, 301 patients (58 per cent) were admitted as emergencies compared with only 222 (43 per cent) in group II (P < 0.001). Perioperative mortality was especially high in the elderly emergencies, 38 per cent, compared with 18 per cent for elective operations. Of the patients presenting as emergencies in either age group 66 per cent had localized ‘potentially curable’ disease. The incidence of colorectal cancer is highest in the elderly. A larger number of these elderly patients present as emergencies and die from the consequences of complications of localized disease. Earlier diagnosis by pre‐symptomatic screening is therefore especially desirable in these old patients.