One-Centre Study Investigating a need for an immediate vascular surgery in patients over 80 years of age - comparison analysis of the results

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One-Centre Study Investigating a need for an immediate vascular surgery in patients over 80 years of age - comparison analysis of the results

According to the observation made by the study authors, every year there is an increasing number of patients advanced in years who require surgical management of their vascular disease. They constitute more than 4% of all patients. The similar situation is our medical centre, where the number of the hospitalisations of octogenarians increases with every subsequent year. In spite of many concomitant diseases we propose them immediate operation. Then it seems to be important a comparison two ways of treatment: immediate and elective ones.

The aim of the study was evaluation of the results obtained in the treatment of vascular diseases requiring an immediate surgical intervention.

Material and methods. In the years 2005-2007, there were 150 patients treated for arterial diseases. The group consisted of 87 men (58%) and 63 women (42%), with a mean age of 83.6. All the patients were divided into two groups: patients undergoing an elective surgery (n = 113), and those operated on immediately (n = 37). For both these groups was performed the comparison analysis, concerning the most important concomitant disorders, having an unquestionable influence on the final results of the operative treatment

Results. The comparison analysis of deaths, amputations, and hospitalisation period in the elective and immediate surgeries revealed the following: 5.3% vs 21.6% (p = 0.006), 7.9% vs 13.5% (p = 0.33), and 15.8 vs 9.8, respectively.

Conclusions. Immediate vascular surgery is especially needed by older women. Culture and customs are the reasons for treatment delay in Poland, with its direct effects on the treatment results.

Cieniawa T, Kubisz A, Szczepanik AM et al.: Age and the risk of surgery. Med Sci Monit 1996; 2(3): 378-85.

Dainese L, Barili F, Spirito R et al.: Abdominal aortic aneurysm repair in octogenarians: autcomes and predictors. Eur J Vasc Endovasc Surg 2006; 31: 464-69.

Kazmers A, Perkins AJ, Huber TS et al.: Carotid surgery in octogenarians in veterans affairs medical centers. J Surg Research 1999; 81: 87-90.

Henebiens M, Vahl A, Koelemay MJW: Elective surgery of abdominal aortic aneurysms in octogenarians: a systemic review. J Vasc Surg 2008; 47(3): 676-81.

Rockman CB, Jacobowitz GR, Adelman MA: The benefits of carotid endarterectomy in the octogenarians: a challenge to the results of carotid angioplasty and stenting. Ann Vasc Surg 2003; 17: 9-14.

Ozsvath KJ, Darling RC, Tabatabai L et al.: Carotid endarterectomy in the elderly: does gender effect outcome? Cardiovasc Surg 2002; 10(6): 534-37.

Brinkman WT, Tarramani TT, Najibi S et al.: Endovascular abdominal aortic aneurysm repair in the octogenarians. Ann Vasc Surg 2004; 18: 401-07.

Di Centa I, Coggia M, Cochennec F et al.: Laparoscopic abdominal aortic aneurysm repair in octogenarians. J Vasc Surg 2009; 49(5): 1135-39.

Falk V, Vettelschoss M, Walther T et al.: Surgical treatment of abdominal aortic aneurysms of octogenarians. Cardiovasc Surg 1996; 4(6): 727-31.

Ishibashi H, Ohta T, Sugimoto I et al.: Abdominal aortic aneurysm surgery in octogenarians. Surg Today 2008; 38: 1004-08.

Schneider JR, Droste JS, Scchindler N et al.: Carotid endarterectomy in octogenarians: comparison eith patient characteristics and outcomes in younger patients. J Vasc Surg 2000; 31(5): 927-35.

Brosi P, Dick F, DoDo D et al.: Revascularisation for chronic critical lower limb ischemia in octogenarians is worthwhile. J Vasc Surg 2007; 46(6): 1198-07.

Ritter R, Grabitz K, Godehardt E et al.: Long term survival after abdominal aortic aneurysm repair in octogenarians. Gefasschirurgie 1997; 2(1): 5-10.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information

CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207


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