Factors affecting mortality and morbidity in emergency abdominal surgery in geriatric patients.
Factors affecting mortality and morbidity in emergency abdominal surgery in geriatric patients.
复制标题
影响老年患者急诊腹部手术死亡率和发病率的因素。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
U. Topaloglu
中科院分区：
文献类型：
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作者：
Erkan Ozkan;M. Fersahoğlu;E. Dulundu;Y. Ozel;M. Yıldız;U. Topaloglu
背景
本研究的目的是确定影响老年腹部手术患者发病率和死亡率的因素。
方法
对92例65岁的急腹症患者的手术指征、发病率和死亡率以及影响发病率和死亡率的因素进行了评估。男性48例(52.2%)，女性44例(47.8%)。年龄65~92岁，平均(73.32±6.37)岁。
结果
最常见的手术指征为急性胆囊炎(26.09%)。并发症21例(22.82%)，死亡14例(15.21%)，最常见的死亡原因是肠系膜血管闭塞。美国麻醉学会(ASA)IV在90.05%的重症监护患者中被发现，92.85%的患者有致命的进展。平均住院时间为7.94±7.13天，中位数为7天。虽然年龄较大和ASA评分高与发病率、死亡率和住院时间显著相关，但性别与发病率、死亡率和住院时间无关(p>；0.05)。
结论
为了降低老年患者术后死亡率，应事先采取预防措施，避免手术并发症的发生。通过对老年患者进行择期手术，可以降低导致急腹症的常见原因，如急性胆囊炎和嵌顿性疝气的可能性。
BACKGROUND
The purpose of the present study was to determine the factors affecting morbidity and mortality in geriatric patients undergoing abdominal surgery.
METHODS
Ninety-two patients who had undergone acute abdominal surgery at >65 years of age were evaluated in terms of surgical indications, morbidity and mortality rates and the factors affecting morbidity and mortality. Forty-eight patients (52.2%) were males and 44 (47.8%) were females. The mean age was 73.32±6.37 (65-92) years.
RESULTS
The most common surgical indication was acute cholecystitis (26.09%). Morbidity was established as 21 (22.82%) and mortality as 14 (15.21%), and the most common cause of mortality was mesenteric vascular occlusion. American Society of Anesthesiology (ASA) IV was noted in 90.05% of the patients admitted to intensive care, and 92.85% of the patients had mortal progression. The mean hospitalization duration was 7.94±7.13 days (median, 7 days). While older age and high ASA scores were significantly correlated with morbidity, mortality and duration of hospitalization, gender was not (p>0.05).
CONCLUSION
In order to decrease the postoperative mortality rate in geriatric patients, precaution should be taken beforehand to avoid surgical complications. By carrying out elective surgery in geriatric patients, the likelihood of common causes of acute abdomen, such as acute cholecystitis and incarcerated hernia, can be reduced.