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FI 2015

1,000
© Thomson Reuters, Journal Citation Reports, 2015

Indexada en:

SCIE/JCR, Index Medicus/Medline, IBECS, IME

Métricas

  • Factor de Impacto: 1,000(2015)
  • 5-años Factor de Impacto: 0,876
  • SCImago Journal Rank (SJR):0,243
  • Source Normalized Impact per Paper (SNIP):0,438

© Thomson Reuters, Journal Citation Reports, 2015

Cir Esp 1999;65:16-20
Cirugía abdominal de urgencia en el anciano. Experiencia de una década en un hospital comarcal
EMERGENCY ABDOMINAL SURGERY IN ELDERLY PATIENTS. TEN YEARS OF EXPERIENCE IN A COUNTY HOSPITAL
FJ. Ortiz de Solórzano Aurusa, C. Yarritu Villanueva, L. Obelar Bernal, C. Díaz Tomás, E. Fraile Jiménez, E. Montes Beneítez, E. Ereño Bilbao
Resumen
Introduction. Elderly patients frequently require surgical treatment, which is associated with elevated rates of morbidity and mortality.

Patients and methods. A review was carried out in a series of 402 cases of emergency abdominal surgery performed in patients over 65 years of age. Patient age, sex, associated diseases, ASA status, clinical picture, type of acute abdomen, type of pathology, morbidity and mortality rate were taken into account.

Results. The mean patient age was 76.4 years. Seventy-five percent of the patients underwent surgery within the first 24 hours. The most common clinical picture was septic peritonitis (49.5%). The etiologies most frequently encountered were: strangulated hernias (27.2%), hepatobiliary disease (22.3%) and colorectal disease (15%); 11.8% of cases were secondary to abdominal neoplasm. The morbidity rate was 46.6% and 4.6% of patients required reoperation. The mortality rate was 14%, and statistically significant relationships were observed between mortality and patient age, ASA status, preoperative admission and the presence of neoplastic disease. Intestinal ischemia was associated with the highest mortality rate (57.1%).

Conclusions. Elective surgery is recommended for the treatment of biliary disease and hernia in elderly patients. In emergency situations, early diagnosis and treatment is of the utmost importance.
Palabras clave
Cirugía urgente, Abdomen agudo, Anciano
Keywords
Emergency surgery, Acute abdomen, Elderly patient