Abstract
We report a prospective controlled trial looking at the outcome of major abdominal surgery judged on the ability of patients to return to their preoperative activity level. Eighty patients were included in the study. Forty of these were over 80 years old and the remainder in the age group 40-65 years. Fifty-four per cent of the over 80s demonstrated an increased level of dependance six months after surgery compared to 18% of the 40-65 year olds. The mortality rate at six months was 42% for the over 80 group. The poor prognosis of elderly surgical patients not only in their increased mortality rate but also in their dependency should be considered before they are subjected to major abdominal surgery.
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Selected References
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- BOSIEN W. R., BOSIEN M. K. The elderly patient: a challenge in surgical management. South Med J. 1960 Jul;53:904–909. doi: 10.1097/00007611-196007000-00015. [DOI] [PubMed] [Google Scholar]
- Bastow M. D., Rawlings J., Allison S. P. Benefits of supplementary tube feeding after fractured neck of femur: a randomised controlled trial. Br Med J (Clin Res Ed) 1983 Nov 26;287(6405):1589–1592. [PMC free article] [PubMed] [Google Scholar]
- HERRON P. W., JESSEPH J. E., HARKINS H. N. Analysis of 600 major operations in patients over 70 years of age. Ann Surg. 1960 Oct;152:686–698. doi: 10.1097/00000658-196010000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KLUG T. J., McPHERSON R. C. Postoperative complications in the elderly surgical patient. Am J Surg. 1959 Jun;97(6):713–717. doi: 10.1016/0002-9610(59)90335-6. [DOI] [PubMed] [Google Scholar]
- McEvoy A. W., James O. F. Anthropometric indices in normal elderly subjects. Age Ageing. 1982 May;11(2):97–100. doi: 10.1093/ageing/11.2.97. [DOI] [PubMed] [Google Scholar]
- PARSONS W. H., WHITAKER H. T., HINTON J. K. Major surgery in patients 70 years of age and over; an analysis of 146 operations on 135 patients. Ann Surg. 1956 Jun;143(6):845–854. doi: 10.1097/00000658-195606000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robb J. E., Murray I., MacKay C. Is elective surgery in the elderly worthwhile? Scott Med J. 1987 Jun;32(3):79–80. doi: 10.1177/003693308703200307. [DOI] [PubMed] [Google Scholar]
- Seymour D. G., Pringle R. Post-operative complications in the elderly surgical patient. Gerontology. 1983;29(4):262–270. doi: 10.1159/000213125. [DOI] [PubMed] [Google Scholar]
- Seymour D. G., Vaz F. G. Aspects of surgery in the elderly: preoperative medical assessment. Br J Hosp Med. 1987 Feb;37(2):102-4, 106, 108 passim. [PubMed] [Google Scholar]
- WILDER R. J., FISHBEIN R. H. Operative experience with patients over 80 years of age. Surg Gynecol Obstet. 1961 Aug;113:205–212. [PubMed] [Google Scholar]
- WOJNAR V. S., MOGHUL T. H. Surgery in the elderly male. JAMA. 1963 May 4;184:332–336. doi: 10.1001/jama.1963.03700180058008. [DOI] [PubMed] [Google Scholar]
- Yearick E. S., Wang M. S., Pisias S. J. Nutritional status of the elderly: dietary and biochemical findings. J Gerontol. 1980 Sep;35(5):663–671. doi: 10.1093/geronj/35.5.663. [DOI] [PubMed] [Google Scholar]