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.
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 language | English |
|---|---|
| Article number | 0749 |
| Pages (from-to) | S115 |
| Number of pages | 1 |
| Journal | International Journal of Surgery |
| Volume | 55 |
| Issue number | Supplement 1 |
| DOIs | |
| Publication status | Published - Jul 2018 |
ASJC Scopus subject areas
- Surgery