Impact of Advancing Age on Abdominal Surgical Outcomes
Impact of Advancing Age on Abdominal Surgical Outcomes
复制标题
DOI：
10.1001/archsurg.2009.204
复制
发表时间：
2009-12-01
影响因子：
--
通讯作者：
Flum, David R.
中科院分区：
文献类型：
--
作者：
Massarweh, Nader N.;Legner, Victor J.;Flum, David R.
目的：描述老年人接受普通腹部外科手术的人群水平的不良结局风险。设计：回顾性，基于人群的队列研究。设置：华盛顿州立医院出院数据库。参与者：101318名65岁或以上的成年人，他们从1987年到2004年接受了普通腹部手术，如胆囊切除术、结肠切除术和子宫切除术。主要结局指标：术后90天并发症累积发生率为1.7.3%，90天死亡率为5.4%。年龄的增加与并发症发生率的增加相关（65-69岁，14.6%; 70-74岁，16.1%; 75-79岁，18.8%; 80-84岁，19.9%; 85-89岁，22.6%; ≥ 90岁，22.7%;趋势检验，P= 90岁，16.7%;趋势检验，P
Objective: To describe the population-level risk of adverse outcomes among older adults undergoing common abdominal surgical procedures.Design: Retrospective, population-based cohort studySetting: Washington State hospital discharge database.Participants: A total of 101318 adults 65 years or older who underwent common abdominal procedures such as cholecystectomy, colectomy, and hysterectomy from 1987 through 2004.Main Outcome Measures: Ninety-day rates of post-surgical morbidity and mortality.Results: The 90-day cumulative incidence of complications was 1.7.3%, with a 90-day mortality rate of 5.4%. Advancing age was associated with increasing frequency of complications (65-69 years, 14.6%; 70-74 years, 16.1%; 75-79 year., 18.8%; 80-84 years, 19.9%; 85-89 years, 22.6%; and >= 90 years, 22.7%; trend test, P= 90 years, 16.7%; trend test, P