Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/69807
DC FieldValueLanguage
dc.contributor.authorFariña Castro, Robertoen_US
dc.contributor.authorRoque-Castellano, Cristinaen_US
dc.contributor.authorArtiles-Armas, Manuelen_US
dc.contributor.authorMarchena-Gómez, Joaquínen_US
dc.date.accessioned2020-02-05T12:50:16Z-
dc.date.available2020-02-05T12:50:16Z-
dc.date.issued2019en_US
dc.identifier.issn1444-1586en_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/69807-
dc.description.abstractThe 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.en_US
dc.languageengen_US
dc.relation.ispartofGeriatrics and Gerontology Internationalen_US
dc.sourceGeriatrics and Gerontology Internationa l[ISSN 1444-1586], v. 19 (4), p. 293-298en_US
dc.subject3213 Cirugíaen_US
dc.subject320107 Geriatríaen_US
dc.subject.otherAmerican Society Of Anesthesiologists Physical Statusen_US
dc.subject.otherBlood Transfusionen_US
dc.subject.otherEmergency Surgeryen_US
dc.subject.otherMortalityen_US
dc.subject.otherNonagenariansen_US
dc.titleEmergency surgery and American Society of Anesthesiologists physical status score are the most influential risk factors of death in nonagenarian surgical patientsen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1111/ggi.13624
dc.identifier.scopus85061497584-
dc.identifier.isi000462919800004
dc.contributor.authorscopusid6507213408-
dc.contributor.authorscopusid14032251400-
dc.contributor.authorscopusid56667617500-
dc.contributor.authorscopusid55089291600-
dc.description.lastpage298en_US
dc.identifier.issue4-
dc.description.firstpage293en_US
dc.relation.volume19en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid9619340
dc.contributor.daisngid5896720
dc.contributor.daisngid10318518
dc.contributor.daisngid1944799
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Farina-Castro, R
dc.contributor.wosstandardWOS:Roque-Castellano, C
dc.contributor.wosstandardWOS:Artiles-Armas, M
dc.contributor.wosstandardWOS:Marchena-Gomez, J
dc.date.coverdateAbril 2019
dc.identifier.ulpgces
dc.description.sjr0,844
dc.description.jcr2022,0
dc.description.sjrqQ1
dc.description.jcrqQ2
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptPatología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-7309-6141-
crisitem.author.orcid0000-0002-7362-1110-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameRoque Castellano, Cristina-
crisitem.author.fullNameMarchena Gómez, Joaquín-
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