ReviewInternational journal of emergency medicine2025
Emergency surgical conditions in geriatric patients: current research landscape.
Review in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe global population is aging rapidly, leading to a significant increase in geriatric patients requiring emergency surgical intervention. This demographic presents unique challenges due to high frailty, multisystem comorbidities, and atypical disease presentations, which contribute to elevated surgical risks and poorer outcomes compared to younger populations.
objectiveThis review aims to synthesize the current research landscape regarding emergency general surgical conditions in older adults. It focuses on the common disease spectrum, evolving management strategies, and critical prognostic determinants to inform and enhance evidence-based clinical practice.
methodsA comprehensive literature review was conducted to delineate the etiology of acute abdomen in the elderly, evaluate the utility of preoperative assessment tools and surgical approaches, and identify key factors influencing patient outcomes, including mortality and complication rates.
resultsAcute appendicitis, intestinal obstruction, gastrointestinal perforation, and biliary diseases represent the most prevalent conditions. Precise preoperative risk stratification using scoring systems like POSSUM is crucial. For hemodynamically stable patients, a laparoscopic-first approach is associated with reduced complications and shorter hospital stays. Prognosis is critically influenced not just by age, but more significantly by frailty, multimorbidity, and psychosocial factors. The integration of Multidisciplinary Team (MDT) models and rehabilitation medicine principles is pivotal for optimizing comprehensive care.
conclusionsThe management of geriatric emergency surgical patients necessitates a tailored, multidimensional strategy. Future efforts to improve outcomes should focus on refined preoperative optimization, the promotion of minimally invasive techniques, and the systematic implementation of multidisciplinary collaboration and early rehabilitation.
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Registered trials
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