Five‐year survival after surgery in nonagenarian patients

Aim In countries with longer life expectancies, the nonagenarian population is increasing. Therefore, there is greater demand for healthcare, including surgical procedures. The aim of the present study was to determine the outcomes of surgery carried out on nonagenarians in terms of long‐term surviv...

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Bibliographic Details
Published in:Geriatrics & gerontology international 2017-12, Vol.17 (12), p.2389-2395
Main Authors: Fariña‐Castro, Roberto, Roque‐Castellano, Cristina, Marchena‐Gómez, Joaquín, Rodríguez‐Pérez, Aurelio
Format: Article
Language:English
Subjects:
Aged, 80 and over
anesthesiology
Elective Surgical Procedures
Emergency Treatment
Female
geriatric surgery
Humans
Intraoperative Complications - mortality
Longitudinal Studies
long‐term survival
Male
Medical personnel
Multivariate Analysis
nonagenarians
Postoperative Complications - epidemiology
prognostic factors
Retrospective Studies
Risk Factors
Surgery
Surgical Procedures, Operative - adverse effects
Surgical Procedures, Operative - mortality
Survival Rate
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Summary:Aim In countries with longer life expectancies, the nonagenarian population is increasing. Therefore, there is greater demand for healthcare, including surgical procedures. The aim of the present study was to determine the outcomes of surgery carried out on nonagenarians in terms of long‐term survival after the procedure. Methods We carried out a cross‐longitudinal study on a cohort of 159 nonagenarian patients, who underwent a non‐cardiac, non‐traumatic surgical procedure in our institution between January 1999 and December 2011. The following variables were recorded: sociodemographic characteristics, American Society of Anesthesiologists score, Charlson Comorbidity Index, surgical site, postoperative complications, operative mortality and long‐term survival. The output variable was long‐term survival. Results Of the 159 patients,99 women (62%) and 60 men (38%), with a mean age of 91.8 years (SD ± 2.0 years), 44 cases were operations for malignant disorders (28%), 117 cases (74%) under emergency conditions and 42 cases (26%) were elective treatments. The operative mortality was 29%, 4.8% for elective surgery and 37.6% for emergency surgery (P 
ISSN:1444-1586
1447-0594
DOI:10.1111/ggi.13081