A Simple Novel Model to Predict Hospital Mortality, Surgical Site Infection, and Pneumonia in Elderly Patients Undergoing Operation
Background/Aims: Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. Methods: A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery...
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| Veröffentlicht in: | Digestive surgery 2010-08, Vol.27 (3), p.224-231 |
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| creator | Huang, Ting-Shuo Hu, Fu-Chang Fan, Chung-Wei Lee, Chun-Hui Jwo, Shyh-Chuan Chen, Huang-Yang |
| description | Background/Aims: Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. Methods: A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. Results: 215 patients were identified with a mean age of 83.7 years. Overall morbidity and mortality rates were 48.8 and 14.4%, respectively. Multivariate logistic regression analysis revealed that serum albumin levels [odds ratio (OR) = 0.367, p = 0.0267], postoperative pneumonia (OR = 3.471, p = 0.0101), hollow organ perforation or anastomosis combined with leakage (OR = 7.600, p = 0.0126), and preoperative systemic inflammatory response syndrome (OR = 3.186, p = 0.0323) were significant predictors of hospital mortality. Moreover, albumin (OR = 0.270, p = 0.0002) and physical disability (OR = 3.802, p = 0.0009) were significant predictors of postoperative pneumonia, and albumin (OR = 0.491, p = 0.0212) and enterotomy (OR = 3.335, p = 0.0208) were significant predictors of surgical site infections. Conclusion: This study provides novel predicting models to identify the elderly surgical patients at high risk, who should receive more intensive preventive and perioperative care. |
| doi_str_mv | 10.1159/000274485 |
| format | Article |
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Methods: A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. Results: 215 patients were identified with a mean age of 83.7 years. Overall morbidity and mortality rates were 48.8 and 14.4%, respectively. Multivariate logistic regression analysis revealed that serum albumin levels [odds ratio (OR) = 0.367, p = 0.0267], postoperative pneumonia (OR = 3.471, p = 0.0101), hollow organ perforation or anastomosis combined with leakage (OR = 7.600, p = 0.0126), and preoperative systemic inflammatory response syndrome (OR = 3.186, p = 0.0323) were significant predictors of hospital mortality. Moreover, albumin (OR = 0.270, p = 0.0002) and physical disability (OR = 3.802, p = 0.0009) were significant predictors of postoperative pneumonia, and albumin (OR = 0.491, p = 0.0212) and enterotomy (OR = 3.335, p = 0.0208) were significant predictors of surgical site infections. Conclusion: This study provides novel predicting models to identify the elderly surgical patients at high risk, who should receive more intensive preventive and perioperative care.</description><identifier>ISSN: 0253-4886</identifier><identifier>EISSN: 1421-9883</identifier><identifier>DOI: 10.1159/000274485</identifier><identifier>PMID: 20571270</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Abdomen - surgery ; Aged, 80 and over ; Anastomotic Leak - mortality ; Digestive System Surgical Procedures - mortality ; Disabled Persons ; Female ; Humans ; Inpatients ; Male ; Models, Statistical ; Original Paper ; Pneumonia - mortality ; Postoperative Complications - mortality ; Regression Analysis ; Retrospective Studies ; Serum Albumin - analysis ; Systemic Inflammatory Response Syndrome - mortality</subject><ispartof>Digestive surgery, 2010-08, Vol.27 (3), p.224-231</ispartof><rights>2010 S. Karger AG, Basel</rights><rights>Copyright (c) 2010 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-c613222bee98cb7dcc5b9b2cb9bdfe502e8c20ec2e41f9c13b180fc4d7bf1e583</citedby><cites>FETCH-LOGICAL-c332t-c613222bee98cb7dcc5b9b2cb9bdfe502e8c20ec2e41f9c13b180fc4d7bf1e583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2427,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20571270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Ting-Shuo</creatorcontrib><creatorcontrib>Hu, Fu-Chang</creatorcontrib><creatorcontrib>Fan, Chung-Wei</creatorcontrib><creatorcontrib>Lee, Chun-Hui</creatorcontrib><creatorcontrib>Jwo, Shyh-Chuan</creatorcontrib><creatorcontrib>Chen, Huang-Yang</creatorcontrib><title>A Simple Novel Model to Predict Hospital Mortality, Surgical Site Infection, and Pneumonia in Elderly Patients Undergoing Operation</title><title>Digestive surgery</title><addtitle>Dig Surg</addtitle><description>Background/Aims: Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. Methods: A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. Results: 215 patients were identified with a mean age of 83.7 years. Overall morbidity and mortality rates were 48.8 and 14.4%, respectively. Multivariate logistic regression analysis revealed that serum albumin levels [odds ratio (OR) = 0.367, p = 0.0267], postoperative pneumonia (OR = 3.471, p = 0.0101), hollow organ perforation or anastomosis combined with leakage (OR = 7.600, p = 0.0126), and preoperative systemic inflammatory response syndrome (OR = 3.186, p = 0.0323) were significant predictors of hospital mortality. Moreover, albumin (OR = 0.270, p = 0.0002) and physical disability (OR = 3.802, p = 0.0009) were significant predictors of postoperative pneumonia, and albumin (OR = 0.491, p = 0.0212) and enterotomy (OR = 3.335, p = 0.0208) were significant predictors of surgical site infections. Conclusion: This study provides novel predicting models to identify the elderly surgical patients at high risk, who should receive more intensive preventive and perioperative care.</description><subject>Abdomen - surgery</subject><subject>Aged, 80 and over</subject><subject>Anastomotic Leak - mortality</subject><subject>Digestive System Surgical Procedures - mortality</subject><subject>Disabled Persons</subject><subject>Female</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Models, Statistical</subject><subject>Original Paper</subject><subject>Pneumonia - mortality</subject><subject>Postoperative Complications - mortality</subject><subject>Regression Analysis</subject><subject>Retrospective Studies</subject><subject>Serum Albumin - analysis</subject><subject>Systemic Inflammatory Response Syndrome - mortality</subject><issn>0253-4886</issn><issn>1421-9883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0c9rFDEUB_Agil2rB-8iwYsIHc3PTXIspdpCtQtrz0Mm82ZJnUnGJCPs2X_cLFsreHkPXj7vEfgi9JqSj5RK84kQwpQQWj5BKyoYbYzW_ClaESZ5I7Ren6AXOd9XxteGPkcnjEhFmSIr9Pscb_00j4C_xV8w4q-xr7VEvEnQe1fwVcyzL_bwkmrzZX-Gt0vaeVdnW18AX4cBXPExnGEberwJsEwxeIt9wJdjD2nc440tHkLJ-C7UwS76sMO3MyR72HuJng12zPDqoZ-iu8-X3y-umpvbL9cX5zeN45yVxq0pZ4x1AEa7TvXOyc50zNXSDyAJA-0YAcdA0ME4yjuqyeBEr7qBgtT8FL0_3p1T_LlALu3ks4NxtAHiklsltBFGKV7lu__kfVxSqJ9rlZSCGs5ERR-OyKWYc4KhnZOfbNq3lLSHXNrHXKp9-3Bw6SboH-XfICp4cwQ_bNpB-geO-38AVS-SFA</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Huang, Ting-Shuo</creator><creator>Hu, Fu-Chang</creator><creator>Fan, Chung-Wei</creator><creator>Lee, Chun-Hui</creator><creator>Jwo, Shyh-Chuan</creator><creator>Chen, Huang-Yang</creator><general>S. 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Methods: A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. Results: 215 patients were identified with a mean age of 83.7 years. Overall morbidity and mortality rates were 48.8 and 14.4%, respectively. Multivariate logistic regression analysis revealed that serum albumin levels [odds ratio (OR) = 0.367, p = 0.0267], postoperative pneumonia (OR = 3.471, p = 0.0101), hollow organ perforation or anastomosis combined with leakage (OR = 7.600, p = 0.0126), and preoperative systemic inflammatory response syndrome (OR = 3.186, p = 0.0323) were significant predictors of hospital mortality. Moreover, albumin (OR = 0.270, p = 0.0002) and physical disability (OR = 3.802, p = 0.0009) were significant predictors of postoperative pneumonia, and albumin (OR = 0.491, p = 0.0212) and enterotomy (OR = 3.335, p = 0.0208) were significant predictors of surgical site infections. Conclusion: This study provides novel predicting models to identify the elderly surgical patients at high risk, who should receive more intensive preventive and perioperative care.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>20571270</pmid><doi>10.1159/000274485</doi><tpages>8</tpages></addata></record> |
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| ispartof | Digestive surgery, 2010-08, Vol.27 (3), p.224-231 |
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| source | MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Abdomen - surgery Aged, 80 and over Anastomotic Leak - mortality Digestive System Surgical Procedures - mortality Disabled Persons Female Humans Inpatients Male Models, Statistical Original Paper Pneumonia - mortality Postoperative Complications - mortality Regression Analysis Retrospective Studies Serum Albumin - analysis Systemic Inflammatory Response Syndrome - mortality |
| title | A Simple Novel Model to Predict Hospital Mortality, Surgical Site Infection, and Pneumonia in Elderly Patients Undergoing Operation |
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