Analysis of prognostic factors for postoperative complications and mortality in elderly patients undergoing emergency surgery for intestinal perforation or irreversible intestinal ischemiaopen access
- Authors
- Kim, Hyung Suk; Kim, Hyun Il; Yoon, Young Joon; Yeom, Jong Hoon; Kim, Min Gyu
- Issue Date
- Oct-2023
- Publisher
- Korean Surgical Society
- Keywords
- Aged; Mortality; Peritonitis; Postoperative complications; Risk factors
- Citation
- Annals of Surgical Treatment and Research, v.105, no.4, pp.198 - 206
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- Annals of Surgical Treatment and Research
- Volume
- 105
- Number
- 4
- Start Page
- 198
- End Page
- 206
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/192872
- DOI
- 10.4174/astr.2023.105.4.198
- ISSN
- 2288-6575
- Abstract
- Purpose: Because the global geriatric population continues to increase, the assessment of emergency surgical outcomes in elderly patients with acute peritonitis will become more important. Methods: A retrospective review was conducted on the data of 174 elderly patients who underwent emergency surgery for intestinal perforation or intestinal infarction between June 2010 and November 2022. We conducted an analysis of the risk factors associated with postoperative complications and mortality by evaluating the characteristics of patients and their surgical outcomes. Results: In our study, most patients (94.3%) had preexisting comorbidities, and many patients (84.5%) required transfer to the intensive care unit following emergency surgery. Postoperative complications were observed in 84 individuals (48.3%), with postoperative mortality occurring in 29 (16.7%). Multivariate analysis revealed preoperative acute renal injury, hypoalbuminemia, and postoperative ventilator support as significant predictors of postoperative mortality. Conclusion: When elderly patients undergo emergency surgery for intestinal perforation or infarction, it is important to recognize that those with preoperative acute renal injury, hypoalbuminemia, and a need for postoperative ventilator support have a poor prognosis. Therefore, these patients require intensive care from the early stages of treatment.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 마취통증의학교실 > 1. Journal Articles
- 서울 의과대학 > 서울 외과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/192872)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.