Emergency and elective surgery in patients over age 70

S. M. Keller, L. J. Markovitz, J. R. Wilder, A. H. Aufses

Research output: Contribution to journalArticle

91 Citations (Scopus)

Abstract

Emergency surgery in 100 patients over age 70 was associated with a 31 per cent morbidity and a 20 per cent mortality, significantly greater than the 6.8 per cent morbidity and 1.9 per cent mortality following elective procedures in the same age group (P < .0005). Sixteen per cent (100 of 613) of all geriatric patients were operated on under emergent conditions and the postoperative hospitalization was often significantly prolonged when compared with similar elective operations (P < .05). Emergency surgery was most commonly performed on the large bowel (25%), abdominal wall (17%), stomach (17%), biliary tract (11%), and small bowel (10%). Inguinal herniorraphy was the most frequently performed elective procedure (33%), followed by colon resection (25%), and cholecystectomy (12%). Fifty-nine per cent (23 of 39) of complications associated with urgent operation and 39 per cent (16 of 41) following elective surgery involved the cardiorespiratory systems and were frequently related to underlying diseases. Of the 20 patients who died in the intensive care unit of multisystem failure, 16 had undergone emergency procedures. Elective surgery in the elderly may be performed safely; however, emergency surgery entails a high risk to the patient and a high cost in hospital resources.

Original languageEnglish (US)
Pages (from-to)636-640
Number of pages5
JournalAmerican Surgeon
Volume53
Issue number11
StatePublished - 1987
Externally publishedYes

Fingerprint

Emergencies
Morbidity
Mortality
Groin
Hospital Costs
Biliary Tract
Cholecystectomy
Abdominal Wall
Geriatrics
Intensive Care Units
Stomach
Colon
Hospitalization
Age Groups

ASJC Scopus subject areas

  • Surgery

Cite this

Keller, S. M., Markovitz, L. J., Wilder, J. R., & Aufses, A. H. (1987). Emergency and elective surgery in patients over age 70. American Surgeon, 53(11), 636-640.

Emergency and elective surgery in patients over age 70. / Keller, S. M.; Markovitz, L. J.; Wilder, J. R.; Aufses, A. H.

In: American Surgeon, Vol. 53, No. 11, 1987, p. 636-640.

Research output: Contribution to journalArticle

Keller, SM, Markovitz, LJ, Wilder, JR & Aufses, AH 1987, 'Emergency and elective surgery in patients over age 70', American Surgeon, vol. 53, no. 11, pp. 636-640.
Keller SM, Markovitz LJ, Wilder JR, Aufses AH. Emergency and elective surgery in patients over age 70. American Surgeon. 1987;53(11):636-640.
Keller, S. M. ; Markovitz, L. J. ; Wilder, J. R. ; Aufses, A. H. / Emergency and elective surgery in patients over age 70. In: American Surgeon. 1987 ; Vol. 53, No. 11. pp. 636-640.
@article{212f713c3567457eab4d0c3779dd2487,
title = "Emergency and elective surgery in patients over age 70",
abstract = "Emergency surgery in 100 patients over age 70 was associated with a 31 per cent morbidity and a 20 per cent mortality, significantly greater than the 6.8 per cent morbidity and 1.9 per cent mortality following elective procedures in the same age group (P < .0005). Sixteen per cent (100 of 613) of all geriatric patients were operated on under emergent conditions and the postoperative hospitalization was often significantly prolonged when compared with similar elective operations (P < .05). Emergency surgery was most commonly performed on the large bowel (25{\%}), abdominal wall (17{\%}), stomach (17{\%}), biliary tract (11{\%}), and small bowel (10{\%}). Inguinal herniorraphy was the most frequently performed elective procedure (33{\%}), followed by colon resection (25{\%}), and cholecystectomy (12{\%}). Fifty-nine per cent (23 of 39) of complications associated with urgent operation and 39 per cent (16 of 41) following elective surgery involved the cardiorespiratory systems and were frequently related to underlying diseases. Of the 20 patients who died in the intensive care unit of multisystem failure, 16 had undergone emergency procedures. Elective surgery in the elderly may be performed safely; however, emergency surgery entails a high risk to the patient and a high cost in hospital resources.",
author = "Keller, {S. M.} and Markovitz, {L. J.} and Wilder, {J. R.} and Aufses, {A. H.}",
year = "1987",
language = "English (US)",
volume = "53",
pages = "636--640",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "11",

}

TY - JOUR

T1 - Emergency and elective surgery in patients over age 70

AU - Keller, S. M.

AU - Markovitz, L. J.

AU - Wilder, J. R.

AU - Aufses, A. H.

PY - 1987

Y1 - 1987

N2 - Emergency surgery in 100 patients over age 70 was associated with a 31 per cent morbidity and a 20 per cent mortality, significantly greater than the 6.8 per cent morbidity and 1.9 per cent mortality following elective procedures in the same age group (P < .0005). Sixteen per cent (100 of 613) of all geriatric patients were operated on under emergent conditions and the postoperative hospitalization was often significantly prolonged when compared with similar elective operations (P < .05). Emergency surgery was most commonly performed on the large bowel (25%), abdominal wall (17%), stomach (17%), biliary tract (11%), and small bowel (10%). Inguinal herniorraphy was the most frequently performed elective procedure (33%), followed by colon resection (25%), and cholecystectomy (12%). Fifty-nine per cent (23 of 39) of complications associated with urgent operation and 39 per cent (16 of 41) following elective surgery involved the cardiorespiratory systems and were frequently related to underlying diseases. Of the 20 patients who died in the intensive care unit of multisystem failure, 16 had undergone emergency procedures. Elective surgery in the elderly may be performed safely; however, emergency surgery entails a high risk to the patient and a high cost in hospital resources.

AB - Emergency surgery in 100 patients over age 70 was associated with a 31 per cent morbidity and a 20 per cent mortality, significantly greater than the 6.8 per cent morbidity and 1.9 per cent mortality following elective procedures in the same age group (P < .0005). Sixteen per cent (100 of 613) of all geriatric patients were operated on under emergent conditions and the postoperative hospitalization was often significantly prolonged when compared with similar elective operations (P < .05). Emergency surgery was most commonly performed on the large bowel (25%), abdominal wall (17%), stomach (17%), biliary tract (11%), and small bowel (10%). Inguinal herniorraphy was the most frequently performed elective procedure (33%), followed by colon resection (25%), and cholecystectomy (12%). Fifty-nine per cent (23 of 39) of complications associated with urgent operation and 39 per cent (16 of 41) following elective surgery involved the cardiorespiratory systems and were frequently related to underlying diseases. Of the 20 patients who died in the intensive care unit of multisystem failure, 16 had undergone emergency procedures. Elective surgery in the elderly may be performed safely; however, emergency surgery entails a high risk to the patient and a high cost in hospital resources.

UR - http://www.scopus.com/inward/record.url?scp=0023597722&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023597722&partnerID=8YFLogxK

M3 - Article

C2 - 3688659

AN - SCOPUS:0023597722

VL - 53

SP - 636

EP - 640

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 11

ER -