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Factors associated with postoperative complications following appendectomy in elderly patients
Lapsekili, Emin; Deniz, Abdulkadir; Celik, Suleyman Utku.
  • Lapsekili, Emin; Gulhane Training and Research Hospital. Department of General Surgery. Ankara. TR
  • Deniz, Abdulkadir; Gulhane Training and Research Hospital. Department of General Surgery. Ankara. TR
  • Celik, Suleyman Utku; Gulhane Training and Research Hospital. Department of General Surgery. Ankara. TR
Rev. Assoc. Med. Bras. (1992) ; 67(10): 1485-1490, Oct. 2021. tab, graf
Article in English | LILACS | ID: biblio-1351447
ABSTRACT
SUMMARY

OBJECTIVE:

Appendicitis in elderly patients is more challenging due to delayed presentation and higher comorbidities, which are associated with increased postoperative morbidity. The aim of this study was to evaluate factors that predict 30-day complications in elderly patients undergoing appendectomy.

METHODS:

The records of elderly patients who underwent appendectomy were reviewed. The primary outcome was 30-day postoperative complications. Independent variables examined included demographic data, comorbidities, preoperative laboratory values, pathological findings, and surgical features. Both univariate and multivariate regression analyses were performed to identify factors associated with postoperative complications.

RESULTS:

Evaluation was performed on 80 patients, comprising 63.8% females with a mean age of 71.3 years. Notably, 19 (23.8%) patients had one or more complications within 30 days after surgery. No significant difference was found between patients with and without complications in respect of age, gender, or laboratory features. The rates of American Society of Anesthesiologists scores 3-4 (p=0.006), hypertension (p=0.016), cardiovascular disease (p=0.049), and obesity (p=0.040) were significantly higher for patients with complications than for those without. On multivariate analysis, obesity (OR 9.41), chronic obstructive pulmonary disease (OR 9.72), and open appendectomy (OR 14.87) were independently associated with 30-day postoperative complications.

CONCLUSIONS:

Older patients undergoing appendectomy tend to have poorer outcomes than younger patients. Therefore, it is critical to identify factors that could reduce the possibility of adverse outcomes in this frail population. The results of this study suggest that obesity, chronic obstructive pulmonary disease, and an open approach are independent factors for complications in elderly patients undergoing appendectomy.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Appendicitis / Laparoscopy Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Gulhane Training and Research Hospital/TR

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Full text: Available Index: LILACS (Americas) Main subject: Appendicitis / Laparoscopy Type of study: Etiology study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: Gulhane Training and Research Hospital/TR