OC-059 PARAESOPHAGEAL HERNIA REPAIR (PEHR) IN OCTOGENARIANS: THE RISKS OF WATCHFUL WAITING VERSUS ELECTIVE REPAIR
| العنوان: | OC-059 PARAESOPHAGEAL HERNIA REPAIR (PEHR) IN OCTOGENARIANS: THE RISKS OF WATCHFUL WAITING VERSUS ELECTIVE REPAIR |
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| المؤلفون: | H Wilson, S Ayuso, M Rose, M Polcz, D Ku, G Scarola, V Augenstein, P Colavita, B T Heniford |
| المصدر: | British Journal of Surgery. 110 |
| بيانات النشر: | Oxford University Press (OUP), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Surgery |
| الوصف: | Introduction With an aging population, the utility of surgery in elderly patients, particularly octogenarians, is of increasing interest. Our goal was to analyze outcomes of those over 80 versus younger patients. Methods The Nationwide Readmission Database was queried for patients who underwent PEHR from 2016–2018. Exclusions included diagnosis of gastrointestinal malignancy, concurrent bariatric procedure, or age Results From 2016–2018, 46,450 patients were identified: 5,425(11.7%) were 380 years old and 41,025(88.3%) were Conclusions Octogenarians represented a substantial proportion of patients undergoing PEHR and were more likely to undergo an emergent operation. Being an octogenarian was not an independent predictor of perioperative mortality, but emergency status was. Octogenarians’ perioperative mortality rate was reduced in elective procedures but was still higher than younger patients. The decision for elective repair should involve a thorough risk/benefit analysis in octogenarians. |
| تدمد: | 1365-2168 0007-1323 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::736d2a21dc87c92aa5ad5ba007008ef1 https://doi.org/10.1093/bjs/znad080.066 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........736d2a21dc87c92aa5ad5ba007008ef1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652168 00071323 |
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