Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/69807
Title: Emergency surgery and American Society of Anesthesiologists physical status score are the most influential risk factors of death in nonagenarian surgical patients
Authors: Fariña Castro, Roberto
Roque-Castellano, Cristina 
Artiles-Armas, Manuel
Marchena-Gómez, Joaquín 
UNESCO Clasification: 3213 Cirugía
320107 Geriatría
Keywords: American Society Of Anesthesiologists Physical Status
Blood Transfusion
Emergency Surgery
Mortality
Nonagenarians
Issue Date: 2019
Journal: Geriatrics and Gerontology International 
Abstract: The number of nonagenarians undergoing surgery has increased considerably in recent decades as a result of population aging. Greater knowledge of the most influential factors affecting perioperative morbidity and mortality would improve the quality of care and provision of health resources for these patients. The objective of the present study was to analyze the perioperative mortality, and its most determinant factors, among nonagenarian patients who underwent a surgical procedure in the Department of General and Digestive Surgery. Methods: A retrospective descriptive study was carried out in a cohort of 159 consecutive non-selected surgical nonagenarian patients. Clinical data, type of operation, perioperative hemodynamic instability, the need for blood transfusion and medical/surgical complications were evaluated as predictor variables. The outcome variable was operative mortality. Results: The mean age was 91.8 years (SD ± 2.0); there were 60 men (37.7%) and 99 (62.3%) women. Perioperative mortality was 28.93% (46 patients). The variables age (P = 0.025), American Society of Anesthesiologists physical status score (P < 0.001), neoplastic pathology (P = 0.025), intestinal surgery (P = 0.001), emergent surgery (P ≤ 0.001), perioperative blood transfusion (P = 0.003), postoperative medical complications (P < 0.001) and surgical complications (P = 0.022) showed a statistically significant correlation with mortality. American Society of Anesthesiologists physical status score (P = 0.007), emergent surgery (P < 0.032) and perioperative blood transfusion (P = 0.047) were identified as independent predictors of mortality. Conclusions: Surgery should not be denied to nonagenarian patients based only on their age. Emergency surgery and American Society of Anesthesiologists physical status classification are the most significant factors when deciding whether to intervene.
URI: http://hdl.handle.net/10553/69807
ISSN: 1444-1586
DOI: 10.1111/ggi.13624
Source: Geriatrics and Gerontology Internationa l[ISSN 1444-1586], v. 19 (4), p. 293-298
Appears in Collections:Artículos
Show full item record

SCOPUSTM   
Citations

5
checked on Jun 20, 2021

WEB OF SCIENCETM
Citations

5
checked on Jun 20, 2021

Page view(s)

32
checked on Jun 21, 2021

Google ScholarTM

Check

Altmetric


Share



Export metadata



Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.