Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen
Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excludin...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Ukkonen, Mika [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2015 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 39(2015), 12 vom: 25. Aug., Seite 2854-2861 |
|---|---|
| Übergeordnetes Werk: |
volume:39 ; year:2015 ; number:12 ; day:25 ; month:08 ; pages:2854-2861 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-015-3207-1 |
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SPR003450767 |
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| 520 | |a Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. | ||
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10.1007/s00268-015-3207-1 doi (DE-627)SPR003450767 (SPR)s00268-015-3207-1-e DE-627 ger DE-627 rakwb eng Ukkonen, Mika verfasserin aut Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. Atrial Fibrillation (dpeaa)DE-He213 Cholecystitis (dpeaa)DE-He213 Acute Appendicitis (dpeaa)DE-He213 Medical Complication (dpeaa)DE-He213 General Elderly Population (dpeaa)DE-He213 Kivivuori, Antti aut Rantanen, Tuomo aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 12 vom: 25. Aug., Seite 2854-2861 (DE-627)SPR003391159 nnns volume:39 year:2015 number:12 day:25 month:08 pages:2854-2861 https://dx.doi.org/10.1007/s00268-015-3207-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 39 2015 12 25 08 2854-2861 |
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10.1007/s00268-015-3207-1 doi (DE-627)SPR003450767 (SPR)s00268-015-3207-1-e DE-627 ger DE-627 rakwb eng Ukkonen, Mika verfasserin aut Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. Atrial Fibrillation (dpeaa)DE-He213 Cholecystitis (dpeaa)DE-He213 Acute Appendicitis (dpeaa)DE-He213 Medical Complication (dpeaa)DE-He213 General Elderly Population (dpeaa)DE-He213 Kivivuori, Antti aut Rantanen, Tuomo aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 12 vom: 25. Aug., Seite 2854-2861 (DE-627)SPR003391159 nnns volume:39 year:2015 number:12 day:25 month:08 pages:2854-2861 https://dx.doi.org/10.1007/s00268-015-3207-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 39 2015 12 25 08 2854-2861 |
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10.1007/s00268-015-3207-1 doi (DE-627)SPR003450767 (SPR)s00268-015-3207-1-e DE-627 ger DE-627 rakwb eng Ukkonen, Mika verfasserin aut Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. Atrial Fibrillation (dpeaa)DE-He213 Cholecystitis (dpeaa)DE-He213 Acute Appendicitis (dpeaa)DE-He213 Medical Complication (dpeaa)DE-He213 General Elderly Population (dpeaa)DE-He213 Kivivuori, Antti aut Rantanen, Tuomo aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 12 vom: 25. Aug., Seite 2854-2861 (DE-627)SPR003391159 nnns volume:39 year:2015 number:12 day:25 month:08 pages:2854-2861 https://dx.doi.org/10.1007/s00268-015-3207-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 39 2015 12 25 08 2854-2861 |
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10.1007/s00268-015-3207-1 doi (DE-627)SPR003450767 (SPR)s00268-015-3207-1-e DE-627 ger DE-627 rakwb eng Ukkonen, Mika verfasserin aut Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. Atrial Fibrillation (dpeaa)DE-He213 Cholecystitis (dpeaa)DE-He213 Acute Appendicitis (dpeaa)DE-He213 Medical Complication (dpeaa)DE-He213 General Elderly Population (dpeaa)DE-He213 Kivivuori, Antti aut Rantanen, Tuomo aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 12 vom: 25. Aug., Seite 2854-2861 (DE-627)SPR003391159 nnns volume:39 year:2015 number:12 day:25 month:08 pages:2854-2861 https://dx.doi.org/10.1007/s00268-015-3207-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 39 2015 12 25 08 2854-2861 |
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10.1007/s00268-015-3207-1 doi (DE-627)SPR003450767 (SPR)s00268-015-3207-1-e DE-627 ger DE-627 rakwb eng Ukkonen, Mika verfasserin aut Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2015 Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. Atrial Fibrillation (dpeaa)DE-He213 Cholecystitis (dpeaa)DE-He213 Acute Appendicitis (dpeaa)DE-He213 Medical Complication (dpeaa)DE-He213 General Elderly Population (dpeaa)DE-He213 Kivivuori, Antti aut Rantanen, Tuomo aut Paajanen, Hannu aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 39(2015), 12 vom: 25. Aug., Seite 2854-2861 (DE-627)SPR003391159 nnns volume:39 year:2015 number:12 day:25 month:08 pages:2854-2861 https://dx.doi.org/10.1007/s00268-015-3207-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 39 2015 12 25 08 2854-2861 |
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Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen Atrial Fibrillation (dpeaa)DE-He213 Cholecystitis (dpeaa)DE-He213 Acute Appendicitis (dpeaa)DE-He213 Medical Complication (dpeaa)DE-He213 General Elderly Population (dpeaa)DE-He213 |
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Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen |
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Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen |
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Ukkonen, Mika |
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Ukkonen, Mika Kivivuori, Antti Rantanen, Tuomo Paajanen, Hannu |
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10.1007/s00268-015-3207-1 |
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emergency abdominal operations in the elderly: a multivariate regression analysis of 430 consecutive patients with acute abdomen |
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Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen |
| abstract |
Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. © Société Internationale de Chirurgie 2015 |
| abstractGer |
Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. © Société Internationale de Chirurgie 2015 |
| abstract_unstemmed |
Background This study is intended to ascertain if outcome of acute abdominal surgery among elderly patients with acute abdominal pain have improved. Methods Altogether 456 patients aged >65 years underwent emergency abdominal surgery between the years 2007 and 2009 in our hospital. After excluding emergency reoperations of elective surgery, a total of 430 consecutive patients were included in this retrospective audit. The key factors under analysis in this study were the occurrence of major complications and death from any cause within 30 days after the operation. In addition, we compared our results to our previously published data some 20 years ago. Results The most common diagnoses were cholecystitis (n = 139, 32.3 %, incidence of 125 per 100,000 elderly persons), incarcerated hernia (n = 60, 13.9 %, 54/100,000), malignancy related (n = 50, 11.6 %, 45/100,000), or acute appendicitis (n = 46, 10.7 %, 41/100,000). The majority of operations (80.7 %) were performed using open technique. Of all 112 laparoscopic procedures, 25.9 % were converted to open surgery. Reoperations were rare and postoperative surgical complications were not associated with statistically significant increase in mortality, even if reoperation was needed. The 30-day mortality and morbidity rates were 14.2 and 31.9 %, respectively. Logistic regression analysis showed that patient’s age (p = 0.014), atrial fibrillation (p = 0.017), low body mass index (p = 0.001), open surgery (p = 0.029), ASA grade III or more (p < 0.001), and previous history of malignancies (p = 0.010) were likely to increase mortality. Conclusions Despite modern diagnostics and improved surgical techniques, the results of emergency abdominal surgery still have relatively high morbidity and mortality as reported in earlier studies. © Société Internationale de Chirurgie 2015 |
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Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen |
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