دورية أكاديمية
Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study
| العنوان: | Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study |
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| المؤلفون: | Rosa F., Covino M., Fransvea P., Cozza V., Quero G., Fiorillo C., La Greca A., Sganga G., Gasbarrini A., Franceschi F., Costamagna G., Alfieri S. |
| المساهمون: | Rosa, Fausto, Covino, Marcello, Fransvea, Pietro, Cozza, Valerio, Quero, Giuseppe, Fiorillo, Claudio, Simeoni, B., La Greca, Antonio, Sganga, Gabriele, Gasbarrini, Antonio, Franceschi, Francesco, Costamagna, Guido, Alfieri, Sergio |
| بيانات النشر: | BMJ Publishing Group |
| سنة النشر: | 2022 |
| المجموعة: | Università Cattolica del Sacro Cuore: PubliCatt |
| مصطلحات موضوعية: | adult gastroenterology, adult surgery, endoscopy, surgery, Aged, 80 and over, Cohort Studies, Humans, Length of Stay, Retrospective Studies, Tertiary Healthcare, Emergencies, Emergency Service, Hospital, Settore MED/18 - CHIRURGIA GENERALE |
| الوصف: | ObjectiveTo analyse and compare the clinical outcomes between patients ≥80 years and 65–79 years, who presented to our emergency department (ED) with the two most common gastric emergency (GE) clinical presentation, that is, gastric bleeding and gastric perforation.DesignSingle-centre retrospective cohort study.ParticipantsA total of 1011 patients were enrolled: 421 patients aged ≥80 years were compared with a group of 590 patients aged 65–79 years.Primary and secondary outcome measuresThe primary outcome was to compare the overall mortality. Secondary outcomes included major complications, in-hospital length of stay (LOS) and need for surgical procedures.ResultsPatients ≥80 years with GE had different presentations at ED compared with younger patients: they had higher gastrointestinal bleeding (24.9% vs 16.3%, p=0.001), anemisation (14.5% vs 8.8%, p=0.005) and shock (10.9% vs 5.1%, p=0.001) rates. Median LOS, cumulative major complications and mortality rates were similar among the two groups.Multivariate analysis identified shock, gastric malignancy and gastric fistula as independent predictors for survival.ConclusionsPatients ≥80 years with GE did not have a higher mortality rate and cumulative major complications as compared to younger elderly patients. Invasive treatments were not associated with a different prognosis in this age group. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/35078851; info:eu-repo/semantics/altIdentifier/wos/WOS:000749001500056; volume:12; issue:1; firstpage:e056981; lastpage:e056981; issueyear:2022; journal:BMJ OPEN; http://hdl.handle.net/10807/199660Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85123815894 |
| DOI: | 10.1136/bmjopen-2021-056981 |
| الإتاحة: | https://doi.org/10.1136/bmjopen-2021-056981Test http://hdl.handle.net/10807/199660Test |
| رقم الانضمام: | edsbas.9FC1EF0B |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmjopen-2021-056981 |
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