ArticleWorld journal of emergency surgery : WJES2013
Quality of life and long-term outcomes of octo- and nonagenarians following acute care surgery: a cross sectional study.
Article in World journal of emergency surgery : WJES, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 35 citations in OpenAlex.
- Predictors of postoperative survival and mortality in nonagenarian surgical patients: a retrospective cohort study.BMC surgery · 2026Article
- Health-related quality of life and functional recovery one year after emergency abdominal surgery in patients over 75 years: a prospective observational study.Frontiers in surgery · 2026Article
- Pine-Extracted Phytosterol β-Sitosterol (APOPROSTATPharmaceuticals (Basel, Switzerland) · 2025Article
- Outcomes and complications among nonagenarians undergoing cardiac surgery: A scoping review.PloS one · 2025Article
- Article
- Emergency Colon Resection in the Geriatric Population: the Modified Frailty Index as a Risk Factor of Early Mortality.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Frailty as a risk marker of adverse lower urinary symptom outcomes in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate.Frontiers in medicine · 2023Article
- External Prospective Validation of the Modified CriSTAL Score for 30- and 90-day Mortality in Geriatric Urgent Surgical Patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- The impact of preoperative lower urinary tract symptoms medication on the functional performance of holmium laser enucleation of the prostate.Central European journal of urology · 2021Article
- Mortality and Functional Outcomes After Minor Urological Surgery in Nursing Home Residents: A National Study.Journal of the American Geriatrics Society · 2018Article
- Impact of frailty on outcomes after discharge in older surgical patients: a prospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Observational
- Facilitators and barriers of change toward an elder-friendly surgical environment: perspectives of clinician stakeholder groups.BMC health services research · 2017Article
- Impact of frailty on complications in patients undergoing common urological procedures: a study from the American College of Surgeons National Surgical Quality Improvement database.BJU international · 2016Article
- Predictors of Mortality Up to 1 Year After Emergency Major Abdominal Surgery in Older Adults.Journal of the American Geriatrics Society · 2015Article
- Emergency surgery in the elderly: the balance between function, frailty, fatality and futility.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Article
- Predictors of in-hospital mortality and complications in very elderly patients undergoing emergency surgery.World journal of emergency surgery : WJES · 2014Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile advanced age is often associated with poorer surgical outcomes, long-term age-related health status following acute care surgery is unknown. The objective of our study was to assess post-operative cognitive impairment, functional status, and quality of life in elderly patients who underwent emergency surgery.
methodsWe identified 159 octo- and nonagenarians who underwent emergency surgery between 2008 and 2010 at a single tertiary hospital. Patients were grouped into three cohorts: 1, 2, and 3 years post-operative. We conducted a survey in 2011, with octo- and nonagenarians regarding the impact of emergency surgical procedures. Consenting participants responded to four survey questionnaires: (1) Abbreviated Mental Test Score-4, (2) Barthel Index, (3) Vulnerable Elders Survey, and (4) EuroQol-5 Dimensional Scale.
resultsOf the 159 octo- and nonagenarians, 88 (55.3%) patients were alive at the time of survey conduction, and 55 (62.5%) of the surviving patients consented to participate. At 1, 2, and 3 years post-surgery, mortality rates were 38.5%, 44.7%, and 50.0%, respectively. More patients had cognitive impairments at 3 years (33.3%) than at 1 (9.5%) and 2 years (9.1%) post-operatively. No statistical difference in the ability to carry out activities of daily living or functional decline with increasing time post-operatively. However, patients perceived a significant health decline with the greater time that passed following surgery.
conclusionsOur study showed that half of the patients over the age of 80 are surviving up to 3 years post-operatively. While post-operative functional status appears to be stable across the 3 cohorts of patients, perceived health status declines over time. Understanding the long-term post-operative impact on cognitive impairment, functional status, and quality of life in elderly patients who undergo acute care surgery allows health care professionals to predict their patients' likely post-operative needs.
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