Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/35335
DC FieldValueLanguage
dc.contributor.authorFariña Castro, Robertoen_US
dc.contributor.authorRoque Castellano, Cristinaen_US
dc.contributor.authorMarchena Gómez, Joaquínen_US
dc.contributor.authorRodríguez Pérez, Aurelioen_US
dc.date.accessioned2018-04-09T08:59:07Z-
dc.date.available2018-04-09T08:59:07Z-
dc.date.issued2017en_US
dc.identifier.issn1444-1586en_US
dc.identifier.urihttp://hdl.handle.net/10553/35335-
dc.description.abstractAim: In countries with longer life expectancies, the nonagenarian population is increasing. Therefore, there is greater demand for healthcare, including surgical procedures. The aim of the present study was to determine the outcomes of surgery carried out on nonagenarians in terms of long-term survival after the procedure. Methods: We carried out a cross-longitudinal study on a cohort of 159 nonagenarian patients, who underwent a non-cardiac, non-traumatic surgical procedure in our institution between January 1999 and December 2011. The following variables were recorded: sociodemographic characteristics, American Society of Anesthesiologists score, Charlson Comorbidity Index, surgical site, postoperative complications, operative mortality and long-term survival. The output variable was long-term survival. Results: Of the 159 patients,99 women (62%) and 60 men (38%), with a mean age of 91.8 years (SD ± 2.0 years), 44 cases were operations for malignant disorders (28%), 117 cases (74%) under emergency conditions and 42 cases (26%) were elective treatments. The operative mortality was 29%, 4.8% for elective surgery and 37.6% for emergency surgery (P < 0.001). The postoperative complication rate, including death, was 60%. The probability of survival at 1, 3, and 5 years was 59.6%, 35.8% and 24.1%, respectively. In multivariate analysis, American Society of Anesthesiologists score (HR 2.07, 95% CI 1.58–2.72), emergency surgery (HR 1.64, 95% CI 1.05–2.57) and postoperative medical complications (HR 2.58, 95% CI 1.73–3.85) were independently related to 5-year survival. Conclusions: These findings support the perioperative safety of elective general surgery in nonagenarian patients. In selected nonagenarian patients with no cognitive impairment, surgery must not be denied. These data might be useful for surgical decision-making or informed consent for nonagerians.en_US
dc.languageengen_US
dc.relation.ispartofGeriatrics and Gerontology Internationalen_US
dc.sourceGeriatrics and Gerontology International [ISSN 1444-1586], v. 17 (12), p. 2389-2395en_US
dc.subject320107 Geriatríaen_US
dc.subject3207 Patologíaen_US
dc.subject.otherAnesthesiologyen_US
dc.subject.otherGeriatric surgeryen_US
dc.subject.otherLong-term survivalen_US
dc.subject.otherNonagenariansen_US
dc.subject.otherPrognostic factorsen_US
dc.titleFive-year survival after surgery in nonagenarian patientsen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1111/ggi.13081en_US
dc.identifier.pmid17-
dc.identifier.scopus85021789456-
dc.identifier.scopus2-s2.0-85021789456-
dc.identifier.isi000418347300013-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.contributor.orcid#NODATA#-
dc.contributor.authorscopusid6507213408-
dc.contributor.authorscopusid14032251400-
dc.contributor.authorscopusid55089291600-
dc.contributor.authorscopusid7006262225-
dc.identifier.eissn1447-0594-
dc.description.lastpage2395en_US
dc.identifier.issue12-
dc.description.firstpage2389en_US
dc.relation.volume17en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
local.message.claim2020-09-17T12:55:38.585+0100|||rp01018|||submit_approve|||dc_contributor_author|||None*
dc.contributor.daisngid9619340-
dc.contributor.daisngid5896720-
dc.contributor.daisngid1944799-
dc.contributor.daisngid6363126-
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Farina-Castro, R-
dc.contributor.wosstandardWOS:Roque-Castellano, C-
dc.contributor.wosstandardWOS:Marchena-Gomez, J-
dc.contributor.wosstandardWOS:Rodriguez-Perez, A-
dc.date.coverdateDiciembre 2017en_US
dc.identifier.ulpgces
dc.description.sjr0,871
dc.description.sjrqQ1
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR IUIBS: Patología y Tecnología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR IUSA-ONEHEALTH 5: Reproducción Animal, Oncología y Anestesiología Comparadas-
crisitem.author.deptIU de Sanidad Animal y Seguridad Alimentaria-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-7309-6141-
crisitem.author.orcid0000-0002-7362-1110-
crisitem.author.orcid0000-0003-0947-263X-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.parentorgIU de Sanidad Animal y Seguridad Alimentaria-
crisitem.author.fullNameRoque Castellano, Cristina-
crisitem.author.fullNameMarchena Gómez, Joaquín-
crisitem.author.fullNameRodríguez Pérez, Aurelio Eduardo-
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