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Journals / Ege Klinikleri Tıp Dergisi / 2021 / Cilt: 59 - Sayı: 3

Gastroduodenal Ulcer Perforations In The Elderly Patient Population

Yaşlı Hasta Popülasyonunda Gastroduodenal Ülser Perforasyonları

Ümit TURAN
Hüseyin KILAVUZ
Pages
1–5
Publication Date
2022-10-11
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Age, gender, ASA (American Society of Anesthesiologists) score and perforation area size were found to be clinical parameters predicting mortality (p:0.006, p:0.014, p:

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The objective of this study was to investigate the mortality and morbidity rates and factors predicting prognosis in elderly patient group (>65 years of age) operated due to peptic ulcer perforation (PUP).
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Key Findings & Data:Methods: All patients admitted to Adana City Training and Research Hospital between March 2015 and March 2020 due to PUP were included in our study.
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Conclusion & Impact:Age, gender, ASA (American Society of Anesthesiologists) score and perforation area size were found to be clinical parameters predicting mortality (p:0.006, p:0.014, p:
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: The objective of this study was to investigate the mortality and morbidity rates and factors predicting prognosis in elderly patient group (>65 years of age) operated due to peptic ulcer perforation (PUP). Methods: All patients admitted to Adana City Training and Research Hospital between March 2015 and March 2020 due to PUP were included in our study. Preoperative-intraoperative demographical, clinical and laboratory parameters and postoperative complications of the patients were analyzed retrospectively. Results: Data of a total of 110 patients were included in the study. The mean age of the patients in our study was 77.28(±7.93). Mortality rate was 36.4% (n:40) and morbidity ratio was 63.6% (n:70) for the patients over 65 years of age. Age, gender, ASA (American Society of Anesthesiologists) score and perforation area size were found to be clinical parameters predicting mortality (p:0.006, p:0.014, p:

Özet

Amaç: Bu çalışmanın amacı gastroduodenal peptik ülser perforasyonu (PUP) nedeniyle ameliyat edilen yaşlı hasta grubunda (> 65 yaş) mortalite ve morbidite oranları ile prognozu belirleyen faktörleri araştırmaktır. Yöntem: Adana Şehir Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniğinde Mart 2015-Mart 2020 tarihleri arasında PUP nedeniyle ameliyat edilen hastalar çalışmaya dahil edildi. Hastaların demografik verileri, preoperatif-intraoperatif klinik ve laboratuvar parametreleri ve postoperatif komplikasyonları retrospektif olarak incelendi. Bulgular: Dışlanma kriterleri sonrası 110 hasta çalışmaya dahil edildi. Çalışmamızdaki hastaların ortalama yaşı 77,28 (± 7,93) idi. 65 yaş üstü hastalarda mortalite oranı %36,4 (n: 40), morbidite oranı %63,6 (n: 70) idi. Yaş, cinsiyet, American Society of Anesthesiologists (ASA) skoru ve perforasyon alanı boyutu mortaliteyi öngören klinik parametreler olarak bulundu (p: 0,006, p: 0,014, p:

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Cite This Article

TURAN, Ü., KILAVUZ, H. (2022). Gastroduodenal Ulcer Perforations In The Elderly Patient Population. Ege Klinikleri Tıp Dergisi, Cilt: 59 - Sayı: 3, 1–5. https://ajindex.com/articles/495577

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References (8)

  1. The 2018 Ageing Report. Economic & Budgetary Projections for the 28 EU Member States (2016-2070).
  2. Cook TM, Day CJ. Hospital mortality after urgent and emergency laparotomy in patients aged 65 yr and over. Risk and prediction of risk using multiple logistic regression analysis.Br J Anaesth. 1998 Jun;80(6):776- 81
  3. Lau JY, Sung J, Hill C, Henderson C, Howden CW, Metz DC. Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality.Digestion. 2011;84(2):102- 13. doi: 10.1159/000323958 4. Thorsen K, Søreide JA, Kvaløy JT, Glomsaker T, Søreide K. Epidemiology of perforated peptic ulcer: age- and gender-adjusted analysis of incidence and mortality. World J Gastroenterol. 2013 Jan 21;19(3):347-54. doi: 10.3748/wjg.v19.i3.347
  4. Buck DL, Vester-Andersen M, Møller MH; Surgical delay is a critical determinant of survival in perforated peptic ulcer. Br J Surg. 2013 Jul;100(8):1045-9. doi: 10.1002/bjs.9175
  5. Søreide K, Thorsen K, Søreide JA.Clinical patterns of presentation and attenuated inflammatory response in octo- and nonagenarians with perforated gastroduodenal ulcers.Surgery. 2016 Aug;160(2):341-9. doi: 10.1016/j.surg.2016.02.027
  6. Danish Clinical Register of Emergency Surgery. Annual Report; 2013 http://www.sundhed.dk 8.Møller MH, Engebjerg MC, Adamsen S, Bendix J, Thomsen RW. The Peptic Ulcer Perforation (PULP) score: a predictor of mortality following peptic ulcer perforation. A cohort study.Acta Anaesthesiol Scand. 2012 May;56(5):655-62
  7. Boey J, Choi SK, Poon A, Alagaratnam TT. Risk stratification in perforated duodenal ulcers. A prospective validation of predictive factors.Ann Surg. 1987 Jan;205(1):22-6. 10.Møller MH, Adamsen S, Thomsen RW, Møller AM. Preoperative prognostic factors for mortality in peptic ulcer perforation: a systematic review.Scand J Gastroenterol. 2010 Aug;45(7-8):785-805 11.Fulop T, Dupuis G, Baehl S, Le Page A, Bourgade K, Frost E, Witkowski JM, Pawelec G, Larbi A, Cunnane S. From inflamm-aging to immune-paralysis: a slippery slope during aging for immune-adaptation.Biogerontology. 2016 Feb;17(1):147-57. Review
  8. Bertsch T, Triebel J, Bollheimer C, Christ M, Sieber C, Fassbender K, Heppner HJ. C-reactive protein and the acute phase reaction in geriatric patients.Z Gerontol Geriatr. 2015 Oct;48(7):595-600 13. Thorsen K, Søreide JA, Søreide K. Scoring systems for outcom