ArticleJournal of the American Geriatrics Society2015
Predictors of Mortality Up to 1 Year After Emergency Major Abdominal Surgery in Older Adults.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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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.
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Who cites it
23 citing papers in PubMed, 57 citations in OpenAlex.
- Long-term survival in generalized peritonitis: the impact of early critical periods in major emergency abdominal surgery.BMC surgery · 2026Article
- Effects of Early Palliative Care Involvement on More At-Risk Patients Undergoing Surgery for Cancer.The Journal of surgical research · 2025Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Risk factors for in-hospital mortality after emergency colorectal surgery in octogenarians: results of a cohort study from a referral center.International journal of colorectal disease · 2023Article
- The Clinical Frailty Scale (CFS) as an Independent Prognostic Factor for Patients ≥80 Years with Small Bowel Obstruction (SBO).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Enhanced Recovery After Surgery (ERAS®) Society Consensus Guidelines for Emergency Laparotomy Part 3: Organizational Aspects and General Considerations for Management of the Emergency Laparotomy Patient.World journal of surgery · 2023Review
- Prevalence of unpaid caregiving, pain, and depression in older seriously ill patients undergoing elective surgery.Journal of the American Geriatrics Society · 2023Article
- Assessing and managing frailty in emergency laparotomy: a WSES position paper.World journal of emergency surgery : WJES · 2023Review
- Physical and Cognitive Function Assessment to Predict Postoperative Outcomes of Abdominal Surgery.The Journal of surgical research · 2021Article
- Mortality After Elective Surgery: The Potential Role for Preoperative Palliative Care.The Journal of surgical research · 2021Article
- Effects of the intermediate care unit on the oldest-old general surgical patients: a retrospective, pre- and postintervention study.Aging clinical and experimental research · 2021Article
- Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1-Preoperative: Diagnosis, Rapid Assessment and Optimization.World journal of surgery · 2021Article
- Central venous oxygen saturation/lactate ratio: a novel predictor of outcome following emergency open laparotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Observational
- The Impact of Frailty on Long-Term Patient-Oriented Outcomes after Emergency General Surgery: A Retrospective Cohort Study.Journal of the American Geriatrics Society · 2020Article
- Mortality and Health Care Utilization Among Medicare Patients Undergoing Emergency General Surgery vs Those With Acute Medical Conditions.JAMA surgery · 2020Article
- Loss of Community-Dwelling Status Among Survivors of High-Acuity Emergency General Surgery Disease.Journal of the American Geriatrics Society · 2019Article
- Defining Serious Illness Among Adult Surgical Patients.Journal of pain and symptom management · 2019Article
- High-Risk Comorbidity Combinations in Older Patients Undergoing Emergency General Surgery.Journal of the American Geriatrics Society · 2019Article
- Racial/Ethnic Disparities in Longer-term Outcomes Among Emergency General Surgery Patients: The Unique Experience of Universally Insured Older Adults.Annals of surgery · 2018Article
- High Burden of Palliative Care Needs of Older Adults During Emergency Major Abdominal Surgery.Journal of the American Geriatrics Society · 2018Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo identify factors associated with mortality in older adults 30, 180, and 365 days after emergency major abdominal surgery.
designA retrospective study linked to Medicare claims from 2000 to 2010.
settingHealth and Retirement Study (HRS).
participantsMedicare beneficiaries aged 65.5 enrolled in the HRS from 2000 to 2010 with at least one urgent or emergency major abdominal surgery and a core interview from the HRS within 3 years before surgery. MEASUREMENTS: Survival analysis was used to describe all-cause mortality 30, 180, and 365 days after surgery. Complementary log-log regression was used to identify participant characteristics and postoperative events associated with poorer survival.
resultsFour hundred individuals had one of the urgent or emergency surgeries of interest, 24% of whom were aged 85 and older, 50% had coronary artery disease, 48% had cancer, 33% had congestive heart failure, and 37% experienced a postoperative complication. Postoperative mortality was 20% at 30 days, 31% at 180 days, and 34% at 365 days. Of those aged 85 and older, 50% were dead 1 year after surgery. After multivariate adjustment including postoperative complications, dementia (hazard ratio (HR) = 2.02, 95% confidence interval (CI) = 1.24-3.31), hospitalization within 6 months before surgery (HR = 1.63, 95% CI = 1.12-2.28), and complications (HR = 3.45, 95% CI = 2.32-5.13) were independently associated with worse 1-year survival.
conclusionOverall mortality is high in many older adults up to 1 year after undergoing emergency major abdominal surgery. The occurrence of a complication is the clinical factor most strongly associated with worse survival.
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