Department of Clinical and Biomedical Sciences (Surgery), Barwon Health, University of Melbourne, Geelong Hospital, Geelong, Australia.
J Am Geriatr Soc. 2010 Jan;58(1):104-8. doi: 10.1111/j.1532-5415.2009.02612.x.
To review the outcomes of patients aged 85 and older after abdominal surgery in terms of mortality, morbidity, and change in residential status and to analyze factors predicting such outcomes.
Retrospective clinical cohort study.
A tertiary regional hospital in Victoria, Australia.
One hundred seventy-nine patients aged 85 and older who had abdominal surgery between 1998 and 2008.
Mortality, complications (morbidity), and change in residential status.
The patient sample had a mean age of 88.6, a mortality rate of 17.3%, and a morbidity rate of 62.8%. Approximately two-thirds (64%) of all abdominal surgeries were emergency surgeries. Factors predicting mortality included American Society of Anesthesiologists (ASA) score and premorbid residential status. Risk factors predicting severity of complications were ASA score and emergency surgery. Significant factors contributing to change in residential status were ASA score and severity of complications. Age, sex, and number of comorbidities were not significant factors.
Patients aged 85 and older experienced mortality rates of 17.3% after abdominal surgery. ASA score and premorbid residential status appear to be more important than age in determining risk for abdominal surgery in older persons.
回顾 85 岁及以上腹部手术后患者的死亡率、发病率以及居住状况变化，并分析预测这些结果的因素。
回顾性临床队列研究。
澳大利亚维多利亚州的一家三级区域医院。
1998 年至 2008 年间接受腹部手术的 179 名 85 岁及以上的患者。
死亡率、并发症（发病率）和居住状况变化。
患者样本的平均年龄为 88.6 岁，死亡率为 17.3%，发病率为 62.8%。所有腹部手术中约有三分之二（64%）为急诊手术。预测死亡率的因素包括美国麻醉医师协会（ASA）评分和术前居住状况。预测并发症严重程度的危险因素是 ASA 评分和急诊手术。导致居住状况变化的显著因素是 ASA 评分和并发症的严重程度。年龄、性别和合并症数量不是显著因素。
85 岁及以上的患者在接受腹部手术后的死亡率为 17.3%。ASA 评分和术前居住状况似乎比年龄更能决定老年人腹部手术的风险。
