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Mortality and complications after emergency laparotomy in patients above 80 years

Acta Anaesthesiologica Scandinavica Apr 15, 2020

Aakre EK, et al. - Via conducting this single‐center retrospective study at Haukeland University Hospital, Norway, researchers explored outcome following emergency laparotomy (EL) in patients ≥ 80 years of age. From 2015 to 2016, EL was performed on 106 patients aged 80–96 years. Among these, cardiopulmonary disease was reported in 58%, and there were 16% who lived in a nursing home before surgery. Twenty-six cases underwent resection of colon, 24 underwent adhesiolysis, and 18 underwent resection of small intestine. Twenty-eight patients died (26%) within 30 days, 15 died during the first postoperative week. Observations thereby indicate very high mortality after EL in octo‐ and nonagenarians. These cases more commonly experienced medical complications than surgical complications, and had frequent functional decline.

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