Increased Morbidity and Mortality of Emergency Laparotomy in Elderly Patients

2019 ◽  
Vol 44 (3) ◽  
pp. 711-720 ◽  
Author(s):  
Melissa Sin Hui Chua ◽  
Dedrick Kok Hong Chan
Keyword(s):  
Elderly Patients ◽  
Morbidity And Mortality ◽  
Emergency Laparotomy

scholarly journals Factors Predicting Morbidity and Mortality in Emergency Colorectal Procedures in Elderly Patients

2009 ◽  
Vol 144 (12) ◽  
pp. 1157 ◽  
Author(s):  
Edward A. McGillicuddy
Keyword(s):  
Elderly Patients ◽  
Morbidity And Mortality ◽  
Colorectal Procedures

Surgical risk factors, morbidity, and mortality in elderly patients

2008 ◽  
Vol 68 ◽  
pp. S13 ◽  
Author(s):  
F.E. Turrentine ◽  
H. Wang ◽  
V.B. Simpson ◽  
R.S. Jones
Keyword(s):  
Risk Factors ◽  
Elderly Patients ◽  
Morbidity And Mortality ◽  
Surgical Risk

scholarly journals Effects of Zoledronic Acid Treatment on Fracture Healing, Morbidity and Mortality in Elderly Patients with Osteoporotic Hip Fractures

2019 ◽  
Vol 14 (3) ◽  
pp. 126-131
Author(s):  
Ahmet Aslan ◽  
Serdar Sargin ◽  
Mehmet N Konya ◽  
Anil Gulcu
Keyword(s):  
Zoledronic Acid ◽  
Elderly Patients ◽  
Fracture Healing ◽  
Hip Fractures ◽  
Acid Treatment ◽  
Morbidity And Mortality

Anaesthesia in the elderly

2017 ◽  
Author(s):  
Bernadette Veering ◽  
Chris Dodds
Keyword(s):  
Elderly Patients ◽  
Postoperative Morbidity ◽  
Medical Condition ◽  
Clinical Care ◽  
The Elderly ◽  
Individual Variability ◽  
Morbidity And Mortality ◽  
Clear Understanding ◽  
Organ Systems ◽  
Specific Organ

The elderly population continues to grow. As surgical intervention in disease processes becomes more aggressive, the anaesthetist is faced with an increasing number of elderly patients. Elderly patients should be approached with a clear understanding of ageing, how it occurs, how it affects specific organ systems, and how it may influence clinical care, when a patient is subjected to an operation. The ageing process is a multifactorial process, resulting in a decreased capacity for adaptation and producing a gradual decrease in functional reserve of many organ systems. This has significant effects on the physiological responses to surgical and pharmacological trespass faced during anaesthesia. Increasing age is associated with changes in the response to a wide variety of drugs. Changes in dose–response relationships may be as a result of changes in pharmacokinetics, pharmacodynamics, or a combination of both. One should realize that increasing age is associated with a large inter-individual variability in dose requirements. As such, it is important to carefully titrate the dose against the desired clinical effect in an older patient. Preoperative physical and mental state are the most important determinants of per- and postoperative morbidity and mortality. The number of co-morbidities increases with advanced age and as such, optimization of the medical condition is essential to reduce the morbidity and mortality.

Increased morbidity and mortality in elderly patients with lower extremity trauma and associated injuries: A review of 420,066 patients from the national trauma database

Injury ◽  
2020 ◽  
Author(s):  
Zachary T. Sharfman ◽  
Afshin Parsikia ◽  
Ta'ir N. Rocker ◽  
Mani D. Kahn ◽  
Shima C. Sokol ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Elderly Patients ◽  
Morbidity And Mortality ◽  
Associated Injuries ◽  
Lower Extremity Trauma ◽  
National Trauma ◽  
Extremity Trauma

PS01.218: MORBIDITY AND MORTALITY IN ELDERLY PATIENTS AFTER MINIMALLY INVASIVE ESOPHAGECTOMY

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 112-112
Author(s):  
Jeroen Hol ◽  
Joos Heisterkamp ◽  
Barbara Langenhoff
Keyword(s):  
Minimally Invasive ◽  
Elderly Patients ◽  
Hospital Stay ◽  
Minimally Invasive Esophagectomy ◽  
Length Of Hospital Stay ◽  
Morbidity And Mortality ◽  
Tumor Type ◽  
Invasive Esophagectomy ◽  
Group 2 ◽  
Group 1

Abstract Background Elderly patients undergoing gastrointestinal surgery are at higher risk for postoperative complications and mortality. Currently available literature on elderly patients undergoing an esophagectomy is inconclusive and dates back from the time before minimally invasive techniques were implemented. Methods Length of hospital stay, 90-day morbidity and mortality were analyzed from patients undergoing minimally invasive esophagectomy (MIE) between 2014 and 2017 in a single center. Data from patients aged 76 years or older was compared to the cohort of patients aged 71 to 75 years old. Results From a consecutive series of in total 187 patients two cohorts were retrieved: 19 patients 76 years or older (group 1) were compared to 41 patients 71 to 75 years old (group 2). Median age was 77 years (76–83) in group 1 and 72 years (71–75) in group 2 (P < 0.05). There were no significant differences in sex, Charlson comorbidity score, number of patients undergoing neoadjuvant chemoradiaton, histological tumor type, tumor stage, number of lymph nodes harvested and type of anastomosis. There were no significant differences in length of hospital stay, 90-day morbidity and mortality. The percentage of anastomotic leakage was 21.2% in group 1 and 14.6% in group 2. Mortality was 10.5% and 4.9% respectively. Conclusion No difference was seen in morbidity and mortality after MIE comparing the eldest old to younger old patients. Therefore, patient selection should not be based on calendar age alone. Disclosure All authors have declared no conflicts of interest.

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