Göte H, Stimpel H R, Pedersen T B
Frederiksberg Hospital, parenkymkirurgisk afdeling.
Ugeskr Laeger. 1990 Jul 9;152(28):2044-7.
In a retrospective investigation at the department of Surgery, Frederiksberg Hospital in 1981, the frequency of operations in patients above 80 years old was 3.4% compared to 1.7% in the general population. The total number of operations in the aged group was 183. The object of this investigation was to determine the postoperative mortality and 5-year survival rate in the patients aged 80 years or more. Furthermore, the ability of the patients to stay in their homes was investigated. The patients were divided into a major surgery group and a minor surgery group depending on the extent of the operation. The postoperative mortality var 5.5%. Compared to an age and sex matched control group, only the major surgery group had a higher rate of mortality during the first six postoperative months. Among the patients who were admitted from home, 85% were discharged directly to their homes. At the end of the study period or at the time of death, the percentage of patients staying in old peoples homes was essentially the same as for the rest of the population. It is concluded that the patients aged 80 years or more tolerated surgical trauma relatively well and, that the number of geriatric operations may be anticipated to increase greatly.
1981年在腓特烈斯贝格医院外科进行的一项回顾性调查中，80岁以上患者的手术频率为3.4%，而普通人群为1.7%。老年组的手术总数为183例。这项调查的目的是确定80岁及以上患者的术后死亡率和5年生存率。此外，还调查了患者居家生活的能力。根据手术范围，患者被分为大手术组和小手术组。术后死亡率为5.5%。与年龄和性别匹配的对照组相比，只有大手术组在术后前六个月的死亡率较高。在家中入院的患者中，85%直接出院回家。在研究期结束时或死亡时，住在养老院的患者比例与其他人群基本相同。得出的结论是，80岁及以上的患者对手术创伤的耐受性相对较好，并且预计老年手术的数量可能会大幅增加。
