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Number of results
2012 | 84 | 4 | 173-176

Article title

Results of General Surgical Treatment of Patients Over 80 Years of Age in Single-Site Experience

Content

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Languages of publication

EN

Abstracts

EN
The aim of the study was to evaluate the results of general surgical treatment of patients over 80 years of age.Material and methods. Three hundred and four patients aged 80 to 105 years with general surgical disorders, treated in 2005-2009, were retrospectively included in the study. The collected information included demographic data, coexisting diseases, the mode of admission, the diagnosis, the method and result of treatment, and also potential complications and 30-day mortality. The data were subjected to statistical analysis.Results. The study group included 186 women and 118 men. Two hundred patients (65.8%) were admitted in an emergency setting. The most common causes of immediate hospitalisation were: mechanical ileus (26.5%), gastrointestinal bleeding (22%), trauma (16%), and gall-bladder disorders (8.5%). The remaining 104 (34.2%) patients were operated upon on an elective basis. An emergency operation was required by 121 (60%) of the patients admitted in an emergency setting; the remaining ones were treated conservatively. Hernia plasties (27.5%), cholecystectomies (15.3%), colorectal resections (13.2%), strumectomies (11.2%) and endoscopies (6.1%) predominated among elective surgeries.The total number of complications and mortality were 19.4% and 14.5%, respectively. The number of complications and mortality were significantly higher in the group of patients admitted in an emergency setting (25.5% and 20.5%, respectively) than in patients admitted on an elective basis (8.7% and 2.9%, respectively), p<0.01.The mean duration of hospitalisation was 9.7 days (1 to 60 days), with a small difference between the groups of patients treated on an elective and emergency basis (8.5 and 10.4 days), p=0.181.Conclusions. The results of surgical treatment of elderly patients do not significantly differ from the results of treatment of the general population. Much worse results, coupled with a significant increase in mortality, are observed in patients admitted and treated on an emergency basis.

Publisher

Year

Volume

84

Issue

4

Pages

173-176

Physical description

Dates

published
1 - 4 - 2012
online
14 - 6 - 2012

Contributors

author
  • Department of General and Thoracic Surgery, Warsaw Medical University
  • Department of General and Thoracic Surgery, Warsaw Medical University
  • Department of General and Thoracic Surgery, Warsaw Medical University
  • Department of General and Thoracic Surgery, Warsaw Medical University
author
  • Department of General and Thoracic Surgery, Warsaw Medical University
  • Department of General and Thoracic Surgery, Warsaw Medical University
author
  • Department of General and Thoracic Surgery, Warsaw Medical University
  • Department of General and Thoracic Surgery, Warsaw Medical University

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-012-0028-x
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