Servicio de Cirugía General, Hospital Universitario Virgen de la Victoria, Málaga, España.
Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, España.
Cir Cir. 2024;92(4):469-474. doi: 10.24875/CIRU.23000447.
To evaluate the health outcomes (postoperative morbidity and mortality) and the functional status at discharge of elderly patients older than 80 years who underwent emergency surgery.
Patients > 80 years of age who underwent emergency surgery during one year at the Marqués de Valdecilla University Hospital, Santander, Spain. Preoperative data (age, sex, type of surgery, comorbidity) and postoperative data (complications) were evaluated, as well as in-hospital mortality, at 30 days and 6 months after surgery.
Five-hundred-sixty-eight patients underwent emergency surgery between 2018 and 2019. After the review, 407 patients were included in the study. Average age: 86.9 years. Women 61.7%. Mean hospital stay: 10.4 days. Traumatic interventions 41.3%, vascular surgery 19.7%, general-digestive surgery 25.3%. Medium ASA risk: 2.88. Functional status at discharge: 3.15. Postoperative complications: Clavien-Dindo I 40.8%, II 40.3%, IIIA 3.4%, IIIB 2.5%, IVA 3.9%, IVB 2.0% and V 7.1%. Hospital mortality 7.1%, 30-day mortality 10.3%, mortality at 6 months 24.6%.
Patients > 80 years of age undergoing urgent surgery have high preoperative comorbidity, postoperative complications, and high mortality at 30 days and 6 months after surgery. This mortality is more significant in those ASA IV, nonagenarians and those undergoing high-risk surgery.
评估 80 岁以上老年急症手术患者的健康结局（术后发病率和死亡率）和出院时的功能状态。
选取西班牙桑坦德市马尔凯斯·德瓦尔德西利亚大学医院一年期间接受急症手术的 80 岁以上患者。评估术前数据（年龄、性别、手术类型、合并症）和术后数据（并发症），以及术后 30 天和 6 个月的院内死亡率。
2018 年至 2019 年期间，568 例患者接受了急症手术。经审查，407 例患者纳入研究。平均年龄：86.9 岁。女性占 61.7%。平均住院时间：10.4 天。创伤性干预占 41.3%，血管外科手术占 19.7%，普通消化系统手术占 25.3%。平均 ASA 风险：2.88。出院时的功能状态：3.15。术后并发症：Clavien-Dindo I 级 40.8%，II 级 40.3%，IIIA 级 3.4%，IIIB 级 2.5%，IVA 级 3.9%，IVB 级 2.0%和 V 级 7.1%。院内死亡率 7.1%，30 天死亡率 10.3%，6 个月死亡率 24.6%。
接受紧急手术的 80 岁以上老年患者术前合并症多，术后并发症多，术后 30 天和 6 个月死亡率高。ASA 分级 IV、90 岁以上和接受高危手术的患者死亡率更高。
