High mortality at 30 days and 1 year following emergency admission to general surgery in the over 70 age group

B. Ibrahim, I. Ibrahim, M. Wilson, D. Porter, P. Patil

Research output: Contribution to journalArticle

Abstract

Aims: To determine age related mortality outcomes following emergency admission to general surgery.

Methods: Analysis of mortality in all emergency surgical admissions between January 2008 and 2014. Categorised according to operation type. 30-day and 1-year mortality figures were calculated in over versus under 70 year olds.

Results: 40,389 emergency admissions with an operative cohort of 8501 (21.0%). Overall, mortality in over-70s was 8% and 25% at 30-days and 1-year respectively regardless of whether operated on or not. Laparotomy (18.4% of cohort) saw these figures increase to 13.9% and 30.9% in over-70s compared to 3.4% and 7.9% in under-70s, respectively. Resection (13.0% of cohort) saw these figures increase to 13.3% and 34.5% in over-70s compared to 1% and 5% in under-70s, respectively. Stoma formation (28.2% of cohort) saw these figures increase to 14.2% and 38.3% in over-70s compared to 3.3% and 15% in under-70s, respectively. All p-values were 0.0001.

Conclusions: Emergency admission to a general surgical ward carries a 25% 1-year mortality in over-70s. Mortality is significant higher in all the surgical cohorts that we studied at 30-days.

Careful preoperative discussion should be with over-70s in these cohorts.
Original languageEnglish
Article number0749
Pages (from-to)S115
Number of pages1
JournalInternational Journal of Surgery
Volume55
Issue numberSupplement 1
DOIs
Publication statusPublished - Jul 2018

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