Department of Surgery, Galway University Hospital, Ireland.
Int J Surg. 2013;11(9):872-5. doi: 10.1016/j.ijsu.2013.07.016. Epub 2013 Aug 2.
Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%.
The aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral centre in the west of Ireland and to examine whether increasing age had an influence on morbidity, mortality and length of stay.
Data pertaining to all surgical admissions over a 6-month period between was collected prospectively using an ACS-NSQIP based proforma. Data collected included patient age, gender, operative intervention, in-patient length of stay, mode of admission and complications related to their admission.
A total of 2209 patients were admitted under the care of the general, vascular and breast services in our centre over a 6-month period between August and January. Two thousand and nineteen patients had complete data collected. The average age was 50.37 years (± 23.62), with 24.12% (n = 533) older than 70 years. Only 12.31% of patients aged younger than 70 years experienced morbidity, compared to 25.10% of older patients. It was shown that there was a stepwise increase with complication rates and hospital in-patient stay across each decade of increasing age. Multivariate analysis showed those factors most predictive of a complication to include emergency admission, major or complex major surgical intervention, female gender and age. Length of stay was also found to have a positive correlation with increasing age (Spearman's Rho, p < 0.001).
Increasing age is associated with increased complication rates and increased hospital length of stay.
爱尔兰人口老龄化；预计在未来 20 年内，80 岁以上人口的比例将从 1.1%增加到 2.1%。
本研究旨在检查爱尔兰西部一家三级转诊中心外科部门服务人群的人口统计学特征，并研究年龄增长是否对发病率、死亡率和住院时间有影响。
使用基于 ACS-NSQIP 的表格，前瞻性地收集了 6 个月期间所有外科住院患者的数据。收集的数据包括患者年龄、性别、手术干预、住院时间、入院方式和与入院相关的并发症。
在 8 月至 1 月的 6 个月期间，共有 2209 名患者在我们中心的普通、血管和乳房服务下接受治疗。有 2019 名患者完整收集了数据。平均年龄为 50.37 岁（±23.62），70 岁以上的患者占 24.12%（n=533）。年龄小于 70 岁的患者中只有 12.31%出现并发症，而年龄较大的患者中则有 25.10%出现并发症。结果表明，随着年龄的每增加 10 年，并发症发生率和住院时间呈阶梯式增加。多变量分析显示，预测并发症的因素包括急诊入院、主要或复杂的大手术干预、女性性别和年龄。住院时间也与年龄的增加呈正相关（Spearman's Rho，p<0.001）。
年龄增长与并发症发生率增加和住院时间延长有关。
