ArticleWorld journal of emergency surgery : WJES2014
Predictors of in-hospital mortality and complications in very elderly patients undergoing emergency surgery.
Article in World journal of emergency surgery : WJES, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02825082 (Risk Stratification Tools and Frailty Index for Predicting Perioperative Outcome in Elderly Patients Undergoing Abdominal Emergency Surgery), which is not on this map. Cited by 41 papers, 5 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Risk Stratification Tools and Frailty Index for Predicting Perioperative Outcome in Elderly Patients Undergoing Abdominal Emergency Surgery
Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Small bowel obstruction and frailty: a systematic review.European geriatric medicine · 2026Pooled it
- The 2023 WSES guidelines on the management of trauma in elderly and frail patients.World journal of emergency surgery : WJES · 2024Guideline
- The impact of comprehensive geriatric assessment on postoperative outcomes in elderly surgery: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Effects of comprehensive geriatric care models on postoperative outcomes in geriatric surgical patients: a systematic review and meta-analysis.BMC anesthesiology · 2021Pooled it
- The effect of comorbidity on mortality in elderly patients undergoing emergency abdominal surgery: a systematic review and metaanalysisTurkish journal of medical sciences · 2021Pooled it
- Randomized Controlled Study on Safety and Feasibility of Transfusion Trigger Score of Emergency Operations.Chinese medical journal · 2015Trial
- Determinants of 28-day perioperative mortality and postoperative length of hospital stay among geriatric patients: a two-center prospective follow-up study in Ethiopia.BMC geriatrics · 2026Article
- Laparoscopy for emergency abdominal surgery is associated with reduced physical functional decline in older patients: a cohort study.BMC geriatrics · 2024Article
- Predictive value of total psoas muscle index for postoperative physical functional decline in older patients undergoing emergency abdominal surgery.BMC surgery · 2023Article
- Perioperative mortality and its predictors among patients undergoing emergency laparotomy at selected southern Ethiopian governmental hospitals, 2022: a multicenter prospective cohort study.Annals of medicine and surgery (2012) · 2023Article
- The Hospital Frailty Risk Score (HFRS) applied to primary data: protocol for a systematic review.BMJ open · 2022Article
- Radiological Features for Frailty Assessment in Patients Requiring Emergency Laparotomy.Journal of clinical medicine · 2022Article
- Gastro-intestinal emergency surgery: Evaluation of morbidity and mortality. Protocol of a prospective, multicenter study in Italy for evaluating the burden of abdominal emergency surgery in different age groups. (The GESEMM study).Frontiers in surgery · 2022Article
- Patient reported outcomes in an elder-friendly surgical environment: Prospective, controlled before-after study.Annals of medicine and surgery (2012) · 2021Article
- Mortality after abdominal emergency surgery in nonagenarians.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Observational
- Prediction of functional loss in emergency surgery is possible with a simple frailty screening tool.World journal of emergency surgery : WJES · 2021Article
- Predictors of In-Hospital Mortality in Surgical Wards: A Multivariable Retrospective Cohort Analysis of 2,800,069 Hospitalizations.World journal of surgery · 2021Article
- Improved Understanding of Acute Incisional Hernia Incarceration: Implications for Addressing the Excess Mortality of Emergent Repair.Journal of the American College of Surgeons · 2020Article
- Cochrane in CORR®: Comprehensive Geriatric Assessment For Older People Admitted To A Surgical Service.Clinical orthopaedics and related research · 2020Article
- Predictors of prolonged length of hospital stay and in-hospital mortality among adult patients admitted at the surgical ward of Jimma University medical center, Ethiopia: prospective observational study.Journal of pharmaceutical policy and practice · 2020Article
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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
introductionWith the increasing aging population demographics and life expectancies the number of very elderly patients (age ≥ 80) undergoing emergency surgery is expected to rise. This investigation examines the outcomes in very elderly patients undergoing emergency general surgery, including predictors of in-hospital mortality and morbidity.
methodsA retrospective study of patients aged 80 and above undergoing emergency surgery between 2008 and 2010 at a tertiary care facility in Canada was conducted. Demographics, comorbidities, surgical indications, and perioperative risk assessment data were collected. Outcomes included length of hospitalization, discharge destination, and in-hospital mortality and morbidity. Multivariable logistic regression was used to identify predictors of in-hospital mortality and complications.
resultsOf the 170 patient admissions, the mean age was 84 years and the in-hospital mortality rate was 14.7%. Comorbidities were present in 91% of this older patient population. Over 60% of the patients required further services or alternate level of care on discharge. American Society of Anesthesiologist Physical Status (ASA) Classification (OR 5.30, 95% CI 1.774-15.817, p = 0.003) and the development of an in-hospital complications (OR 2.51, 95% CI 1.210-5.187, p = 0.013) were independent predictors of postoperative mortality. Chronological age or number of comorbidities was not predictive of surgical outcome.
conclusionsMortality, complication rates and post-discharge care requirements were high in very elderly patients undergoing emergency general surgery. Advanced age and medical comorbidities alone should not be the limiting factors for surgical referral or treatment. This study illustrates the importance of preventing an in-hospital complication in this very vulnerable population. ASA class is a robust tool which is predictive of mortality in the very elderly population and can be used to guide patient and family counseling in the emergency setting.
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