Evidence map›Paper›PMID 40822269›Full record

ArticleFrontiers in surgery2025

Mortality risk prediction in octogenarians undergoing emergency colorectal surgery: a tertiary center experience and systematic review of the literature.

Marco Brolese, Arianna Vittori, Matteo Todisco, Nadine Zuin, Vanessa Cusano, Valeria Valli, Lorenzo Vallese, Nicola Baldan, Michele Valmasoni, Gianfranco Da Dalt and 1 more

Abstract read
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Risk factors associated with morbidity and mortality in emergency colorectal cancer resections.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  2. Observational
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marco Brolese1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Arianna Vittori1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Matteo TodiscoDepartment of Radiology, Azienda Ospedale Università Padova, University of Padova, Padova, Italy.
Nadine Zuin1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Vanessa Cusano1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Valeria Valli1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Lorenzo Vallese1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Nicola Baldan1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Michele Valmasoni1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Gianfranco Da Dalt1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Alberto Friziero1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Surgical colonic emergencies frequently occur in elderly patients. In these cases a comprehensive preoperative assessment is crucial to tailor surgical invasiveness to individual risk profiles and potentially improve clinical outcomes. The aim of our study was to identify predictors of in-hospital mortality in octogenarians undergoing emergency colorectal resections, and compare the short-term outcomes between elderly and younger patients. Methods: This study included patients who underwent emergency colorectal resections at Our Department between January 2020 and December 2024. Exclusion criteria were age <18 years and palliative surgery. Patients were stratified into two cohorts: octogenarians (≥80 years, Group 1) and patients aged <80 years (Group 2). Baseline characteristics, perioperative variables, and short-term outcomes were compared and analyzed. A systematic review (PROSPERO: CRD420251050770) was conducted to identify the studies evaluating outcomes of emergency colorectal resections in octogenarians. MEDLINE (via PubMed), EMBASE, and EBSCOhost were searched from database inception to April 2025. Results: Group 1 and Group 2 included 82 and 130 patients with median ages of 84 and 67 years, respectively. The in-hospital mortality rate was 24% in octogenarians and 8% in younger patients ( Conclusions: Early identification of prognostic factors can improve clinical outcome in emergency scenarios. Our systematic review, the first reported in the literature, provides a comprehensive perspective in this field.

Indexed as

acute care surgerycolectomyemergenciesmortalityoctogenariansrisk factors

Identifiers

PMID40822269
PMCPMC12350353

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.