دورية أكاديمية
Surgical Outcomes in Different Age Cohorts Undergoing Abdominal Surgery: A Retrospective Study.
| العنوان: | Surgical Outcomes in Different Age Cohorts Undergoing Abdominal Surgery: A Retrospective Study. |
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| المؤلفون: | Shpata V; Faculty of Rehabilitation Sciences, University of Sports of Tirana, Tirana, Albania. Electronic address: vjollca.hajro@yahoo.com., Lilaj K; Faculty of Medicine, University of Medicine, Tirana, Albania; University Hospital Center of Tirana 'Mother Theresa', Tirana, Albania., Kodra N; University Hospital Center of Tirana 'Mother Theresa', Tirana, Albania. |
| المصدر: | Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2024 Jun; Vol. 39 (3), pp. 403-408. Date of Electronic Publication: 2023 Nov 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Company Country of Publication: United States NLM ID: 9610507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8473 (Electronic) Linking ISSN: 10899472 NLM ISO Abbreviation: J Perianesth Nurs Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia Pa : W.B. Saunders Company Original Publication: Philadelphia : Saunders, c1996- |
| مواضيع طبية MeSH: | Postoperative Complications*/epidemiology , Hospital Mortality* , Abdomen*/surgery, Humans ; Retrospective Studies ; Aged ; Male ; Female ; Middle Aged ; Risk Factors ; Age Factors ; Length of Stay/statistics & numerical data ; Aged, 80 and over ; Adult ; Treatment Outcome |
| مستخلص: | Purpose: This study aimed to investigate and compare the surgical outcomes of younger and older patients after abdominal surgery and explore risk factors related to postoperative complications and in-hospital mortality in patients ≥65 years old. Design: A retrospective study on 540 adult patients who underwent abdominal surgery and stayed more than 48 hours in the hospital. Methods: The two groups of patients: younger than 65 years and ≥65 years old were compared related to postoperative complications, length of hospital stay, and mortality rates. The cohort of patients aged ≥65 years was selected to analyze risk factors for complications occurrence and in-hospital mortality. Findings: Patients ≥65 years old had poorer outcomes after abdominal surgery than younger patients. Pre-existence of comorbidities, American Society of Anesthesiologists physical status classification greater than two, emergency admission, and low preoperative serum albumin levels were risk factors for postoperative complications and mortality in elderly patients. Other risk factors for in-hospital mortality were the age ≥75 years, obesity, postoperative serum albumin level less than 30 g/L, presence of anemia before and after surgery, and occurrence of postoperative complications. Logistic regression revealed as independent risk factors for the postoperative complications the American Society of Anesthesiologists' physical status classification greater than two (odds ratio [OR]: 3.05, 95% confidence interval [CI]: 1.63-5.67, P = .0004) and preoperative serum albumin levels lower than 30 g/L (OR: 2.12, 95% CI: 1.08-4.17, P = .02), while for in-hospital postoperative mortality, independent risk factors were postoperative anemia (OR: 4.13; 95% CI: 1.22-13.97, P = .02) and obesity (OR: 7.65, 95% CI: 2.59-22.57, P = .0002). Conclusions: Optimizing the preoperative conditions of older patients will improve their postoperative outcomes, especially for patients ≥75 years old, with obesity, comorbidities, anemia, severe nutritional risk, and emergency admission. Competing Interests: Declaration of Competing Interest There are no relationships/conditions/circumstances that present a potential conflict of interest. (Copyright © 2024 The American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: complications; elderly; in-hospital mortality; postoperative outcome |
| تواريخ الأحداث: | Date Created: 20231124 Date Completed: 20240601 Latest Revision: 20240601 |
| رمز التحديث: | 20240602 |
| DOI: | 10.1016/j.jopan.2023.08.023 |
| PMID: | 37999690 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1532-8473 |
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| DOI: | 10.1016/j.jopan.2023.08.023 |