One-Centre Study Investigating a need for an immediate vascular surgery in patients over 80 years of age - comparison analysis of the results

• Authors: Ryszard Pogorzelski , Tomasz Wołoszko , Andrzej Małek , Małgorzata Szostek , Wawrzyniec Jakuczun , Sadegh Toutounchi , Waldemar Macioch , Jerzy Leszczyński , Maciej Skórski
• Languages of publication: EN

Abstracts

EN

According to the observation made by the study authors, every year there is an increasing number of patients advanced in years who require surgical management of their vascular disease. They constitute more than 4% of all patients. The similar situation is our medical centre, where the number of the hospitalisations of octogenarians increases with every subsequent year. In spite of many concomitant diseases we propose them immediate operation. Then it seems to be important a comparison two ways of treatment: immediate and elective ones.The aim of the study was evaluation of the results obtained in the treatment of vascular diseases requiring an immediate surgical intervention.Material and methods. In the years 2005-2007, there were 150 patients treated for arterial diseases. The group consisted of 87 men (58%) and 63 women (42%), with a mean age of 83.6. All the patients were divided into two groups: patients undergoing an elective surgery (n = 113), and those operated on immediately (n = 37). For both these groups was performed the comparison analysis, concerning the most important concomitant disorders, having an unquestionable influence on the final results of the operative treatmentResults. The comparison analysis of deaths, amputations, and hospitalisation period in the elective and immediate surgeries revealed the following: 5.3% vs 21.6% (p = 0.006), 7.9% vs 13.5% (p = 0.33), and 15.8 vs 9.8, respectively.Conclusions. Immediate vascular surgery is especially needed by older women. Culture and customs are the reasons for treatment delay in Poland, with its direct effects on the treatment results.

Keywords

EN

surgery in octogenarians; vascular surgery in octogenarians; vascular disease in octogenarians

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2010
• Volume: 82
• Issue: 5
• Pages: 267-271

Dates

published

1 - 5 - 2010

online

15 - 9 - 2010

Contributors

author

Ryszard Pogorzelski

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Tomasz Wołoszko

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Andrzej Małek

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Małgorzata Szostek

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Wawrzyniec Jakuczun

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Sadegh Toutounchi

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Waldemar Macioch

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Jerzy Leszczyński

• Department of General and Thoracic Surgery, Warsaw Medical University

author

Maciej Skórski

• Department of General and Thoracic Surgery, Warsaw Medical University

References

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Identifiers

DOI

10.2478/v10035-010-0037-6