Article Figures & Data
Tables
- Table 1
- Patients characteristics who treated by emergency colorectal surgery, according to age (N=241).
Characteristics <65 n (%) >65 n (%) P-value Gender Male 88 (62.0) 57 (57.6) 0.49 Female 54 (38.0) 42 (42.4) Body mass index 18.5–24.9 57 (40.4) 36 (37.1) 0.01 25.0–29.9 44 (31.2) 27 (27.8) 30.0–34.9 32 (22.7) 16 (16.5) >=35 8 (5.7) 18 (18.6) Diagnosis Malignance 79 (55.6) 59 (59.6) 0.54 Non-malignance 63 (44.4) 40 (40.4) ASA class ASA Class 1 (0,1,2) 72 (50.7) 12 (12.2) 0.00 ASA Class 2 (3,4,5) 70 (49.3) 86 (87.8) Anticoagulation Yes 24 (16.9) 31 (31.6) 0.00 No 118 (83.1) 67 (68.4) Type of intervention Open 106 (74.6) 76 (76.8) 0.70 Laparoscopic 36 (25.4) 23 (23.2) Procedure Right hemicolectomy 36 (25.4) 26 (26.3) 0.90 Left hemicolectomy 37 (26.1) 32 (32.3) Subtotal and total proctocolectomy 10 (7.0) 6 (6.1) Hartmann-procedure 20 (14.1) 13 (13.1) Stoma formation 32 (22.5) 18 (18.2) Others 7 (4.9) 4 (4.0) Steroid Yes 6 (4.2) 6 (6.1) 0.50 No 136 (95.8) 92 (93.9) Non-colorectal surgeon Yes 90 (63.4) 54 (54.5) 0.16 No 52 (36.6) 45 (45.5) Type of resection Total 8 (5.6) 5 (5.1) 0.53 Segmental 100 (70.4) 76 (76.8) Stoma 34 (23.9) 18 (18.2) Urgency <48 hours 108 (76.1) 83 (83.8) 0.14 >48 hours 34 (23.9) 16 (16.2) WBC (mean±SD) 10.9±6.1 11.9±9.4 0.15 Pre-operative sepsis Yes 34 (24.5) 29 (30.2) 0.32 No 105 (75.5) 67 (69.8) Smoker Yes 19 (13.7) 11 (11.3) 0.59 No 120 (86.3) 86 (88.7) Comorbid Pulmonary Yes 19 (13.4) 27 (27.3) 0.00 No 123 (86.6) 72 (72.7) Cardiac Yes 58 (40.8) 84 (84.8) 0.00 No 84 (59.2) 15 (15.2) Endocrine Yes 55 (38.7) 65 (65.7) 0.00 No 87 (61.3) 34 (34.3) Hepatic Yes 10 (7.0) 9 (9.1) 0.56 No 132 (93.0) 90 (90.9) Renal Yes 17 (12.0) 25 (25.3) 0.00 No 125 (88.0) 74 (74.7) Hematology Yes 15 (10.6) 15 (15.2) 0.28 No 127 (89.4) 84 (84.8) Neurology Yes 15 (10.6) 21 (21.2) 0.02 No 127 (89.4) 78 (78.8) No comorbid Yes 17 (12.0) 3 (3.0) 0.013 No 125 (88.0) 96 (97.0) Other comorbid Yes 10 (7.0) 6 (6.1) 0.76 No 132 (93.0) 93 (93.9) Amount BL (mean±SD) 157.3±250.0 155.4 (269.7) 0.15 Stoma Yes 107 (75.4) 74 (74.7) 0.91 No 35 (24.6) 25 (25.3) ASA: American Society of Anesthesiology, SD: standard deviation SD: standard deviation
Outcome Non-elderly patients n (%) Elderly patients n (%) P-value Length of stay (LOS) (mean ± SD) 17.8± 22.0 26.0 (± 32.1) 0.00 Intensive care unit LOS (mean ± SD) 3.65± 11.4 8.86 (± 17.1) 0.00 30-Day mortality 13 (9.2) 15 (15.2) 0.15 Surgical site infection 27 (19.6) 17 (17.5) 0.69 Readmission 13 (9.2) 9 (9.1) 0.98 Reoperation 22 (15.5) 22 (22.2) 0.18 Complications Septic shock 9 (6.3) 9 (9.1) 0.42 Cardiovascular 2 (1.4) 8 (8.1) 0.01 Pulmonary 3 (2.1) 8 (8.1) 0.02 Gastrointestinal 11 (7.7) 6 (6.1) 0.61 Genitourinary 8 (5.6) 10 (10.1) 0.19 Endocrine 0 (0.0) 1 (1.0) 0.23 Neurological 2 (1.4) 1 (1.0) 0.78 Peritonitis 2 (1.4) 2 (2.0) 0.71 Postoperative outcomes Unadjusted Estimate (95%CI) P-value Adjusted estimate (95% CI) P-value Mean difference (B) length of stay (LOS) -0.15 (-15.0- -1.25) 0.02 0.009 (-7.10- 8.11) 0.89 Mean difference (B) Intensive Care Unit Length of Stay (ICU LOS) -0.17 (-8.84- -1.56) 0.00 -0.049 (-5.29- 2.34) 0.44 30 Days Mortality 0.56 (0.25- 1.24) 0.15 0.83 (0.21- 3.22) 0.79 Surgical Site Infection (SSI) 1.14 (0.58- 2.24) 0.69 2.38 (0.86- 6.58) 0.09 Readmission 1.0 (0.41- 2.45) 0.89 0.91 (0.36- 2.29) 0.85 Reoperation 0.64 (0.33- 1.23) 0.18 1.24 (0.54- 2.83) 0.59 Complication Septic shock 0.67 (0.25- 1.77) 0.42 1.0 (0.33- 3.06) 0.97 Cardiovascular 0.16 (0.03- 0.78) 0.02 1.89 (0.42- 8.43) 0.06 Pulmonary 0.24 (0.06- 0.95) 0.04 0.38 (0.08- 1.64) 0.19 Ggastrointestinal 1.30 (0.46- 3.64) 0.61 1.31 (0.39- 4.33) 0.65 GU 0.53 (0.20- 1.39) 0.20 2.32 (0.64- 8.39) 0.19 Unadjusted and adjusted postoperative outcome according to age group of elderly >65 versus <65. CI: confidence interval, GU: genitourinary
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