Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course
<b><i>Background and Objectives</i>:</b> Colon diseases can turn in a clinical emergency with the onset of some important complications. Some critical conditions are more common in aged patients because they are frailer. The aim of this study is to examine patients over 80 ye...
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| Format: | Artykuł |
| Język: | English |
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MDPI AG
2022-08-01
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| Seria: | Medicina |
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| Dostęp online: | https://www.mdpi.com/1648-9144/58/8/1062 |
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| author | Mario Pacilli Alberto Fersini Giovanna Pavone Pasquale Cianci Antonio Ambrosi Nicola Tartaglia |
| author_facet | Mario Pacilli Alberto Fersini Giovanna Pavone Pasquale Cianci Antonio Ambrosi Nicola Tartaglia |
| author_sort | Mario Pacilli |
| collection | DOAJ |
| description | <b><i>Background and Objectives</i>:</b> Colon diseases can turn in a clinical emergency with the onset of some important complications. Some critical conditions are more common in aged patients because they are frailer. The aim of this study is to examine patients over 80 years of age who are undergoing emergency colorectal surgery, and evaluating the aspects associated with post-operative complications and other problems in the short term. <b><i>Methods</i>:</b> From November 2020 to February 2022, we included 32 consecutive patients older than 80 undergoing emergency surgery due to colon diseases. We collected and analysed all demographic and operative data, and then applied CR-POSSUM score and correlated this with postoperative hospital stay and the onset of postoperative complications according to the Clavien Dindo classification. <b><i>Results:</i></b> Postoperative factors were selectively evaluated based on the clinical scenario and different colic pathologies. There were no statistically significant differences, in terms of postoperative hospital stay, postoperative complications, reoperation rate and 30-day mortality. The number of cases of blood transfusions was significant and was more numerous in cases of intestinal perforation and bleeding cases. The value of the Operative Severity Score in bowel perforations was significantly higher. <b><i>Conclusions</i>:</b> The use of a score to stratify the risk is a useful tool, especially in elderly patients undergoing emergency surgery. The CR-POSSUM score was important for predicting morbidity in our study. Emergency manifestations of colon diseases in the elderly show higher morbidity and mortality rates. The effect of age on outcome is a concept that needs to be emphasized, so further investigation is needed. |
| first_indexed | 2024-03-09T09:53:18Z |
| format | Article |
| id | doaj.art-da66036cd5d8441182fe5ead1ddd5615 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T09:53:18Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-da66036cd5d8441182fe5ead1ddd56152023-12-01T23:58:39ZengMDPI AGMedicina1010-660X1648-91442022-08-01588106210.3390/medicina58081062Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative CourseMario Pacilli0Alberto Fersini1Giovanna Pavone2Pasquale Cianci3Antonio Ambrosi4Nicola Tartaglia5Department of Medical and Surgical Sciences, University of Foggia, Luigi Pinto Street, No. 1, 71122 Foggia, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, Luigi Pinto Street, No. 1, 71122 Foggia, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, Luigi Pinto Street, No. 1, 71122 Foggia, ItalyDepartment of Surgery and Traumatology, Hospital Lorenzo Bonomo, 76123 Andria, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, Luigi Pinto Street, No. 1, 71122 Foggia, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, Luigi Pinto Street, No. 1, 71122 Foggia, Italy<b><i>Background and Objectives</i>:</b> Colon diseases can turn in a clinical emergency with the onset of some important complications. Some critical conditions are more common in aged patients because they are frailer. The aim of this study is to examine patients over 80 years of age who are undergoing emergency colorectal surgery, and evaluating the aspects associated with post-operative complications and other problems in the short term. <b><i>Methods</i>:</b> From November 2020 to February 2022, we included 32 consecutive patients older than 80 undergoing emergency surgery due to colon diseases. We collected and analysed all demographic and operative data, and then applied CR-POSSUM score and correlated this with postoperative hospital stay and the onset of postoperative complications according to the Clavien Dindo classification. <b><i>Results:</i></b> Postoperative factors were selectively evaluated based on the clinical scenario and different colic pathologies. There were no statistically significant differences, in terms of postoperative hospital stay, postoperative complications, reoperation rate and 30-day mortality. The number of cases of blood transfusions was significant and was more numerous in cases of intestinal perforation and bleeding cases. The value of the Operative Severity Score in bowel perforations was significantly higher. <b><i>Conclusions</i>:</b> The use of a score to stratify the risk is a useful tool, especially in elderly patients undergoing emergency surgery. The CR-POSSUM score was important for predicting morbidity in our study. Emergency manifestations of colon diseases in the elderly show higher morbidity and mortality rates. The effect of age on outcome is a concept that needs to be emphasized, so further investigation is needed.https://www.mdpi.com/1648-9144/58/8/1062emergency surgerycolon diseaseselderly patientsCR-POSSUM scorepostoperative course |
| spellingShingle | Mario Pacilli Alberto Fersini Giovanna Pavone Pasquale Cianci Antonio Ambrosi Nicola Tartaglia Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course Medicina emergency surgery colon diseases elderly patients CR-POSSUM score postoperative course |
| title | Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course |
| title_full | Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course |
| title_fullStr | Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course |
| title_full_unstemmed | Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course |
| title_short | Emergency Surgery for Colon Diseases in Elderly Patients—Analysis of Complications, and Postoperative Course |
| title_sort | emergency surgery for colon diseases in elderly patients analysis of complications and postoperative course |
| topic | emergency surgery colon diseases elderly patients CR-POSSUM score postoperative course |
| url | https://www.mdpi.com/1648-9144/58/8/1062 |
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