The results of surgical treatment in the elderly acute abdomen patients

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dc.contributor.authorAğalar, Fatih
dc.contributor.authorÖzdoğan, Mehmet
dc.contributor.authorDaphan, Çağatay Erden
dc.contributor.authorTopaloğlu, Serdar
dc.contributor.authorSayek, İskender
dc.date.accessioned2020-06-25T15:13:10Z
dc.date.available2020-06-25T15:13:10Z
dc.date.issued1999
dc.departmentKırıkkale Üniversitesi
dc.description.abstractThe aim of this study was to evaluate the factors affecting the outcome of geriatric patients presenting with acute abdomen. Eighty patients who underwent surgery with the diagnosis of acute abdomen were analysed retrospectively. The effects of age, sex, American Society of Anaesthesiology (ASA) class, preexisting disease, admission time after the onset of the symptoms, followup interval before the operation on morbidity, mortality and length of hospital stay were evaluated. Male/female ratio was 1.3, mean age was 72.4. Main causes were biliary system disease (38.8%), intestinal obstruction (31.3%), peptic ulcer perforation (12.5%) and acute appendicitis (8.7%). Median ASA class was 3 and 76.3% of the patients had at least one preexisting disease. ASA class was significantly effective on mortality and complication rate. Shock at the admission, malignity, male sex, mechanical ventilation and transfusion were the factors that have statistically significant effect on mortality. 58.8% of the patients had complications. Complications were significantly related to mortality, prolonged intensive care unit (ICU) stay and hospital stay. Male sex, ASA class, malign diseases, peptic ulcer perforation, colonic obstruction, shock, mechanical ventilation and blood transfusion were the factors affecting mortality in the elderly. Preexisting diseases other than malignity, period between the onset of symptoms and admission, follow-up time and operation time did not influence mortality. Complications and ASA classification were associated with a prolonged ICU and hospital stay.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.endpage4en_US
dc.identifier.issn13042947
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-53149121285
dc.identifier.scopusqualityQ4
dc.identifier.startpage1en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12587/1628
dc.identifier.volume2en_US
dc.indekslendigikaynakScopus
dc.language.isotr
dc.relation.ispartofTurk Geriatri Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute abdomenen_US
dc.subjectASA classificationen_US
dc.subjectElderlyen_US
dc.subjectEmergency surgeryen_US
dc.titleThe results of surgical treatment in the elderly acute abdomen patientsen_US
dc.title.alternativeAkut karinla basvu?ran geri?atri?k hastalarda cerrahi? tedavi? ve sonuçlarien_US
dc.typeArticle

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