Short Communication
English
Mohamed Al-swehly ¹, Abdullah Glessa¹, Ahmed Toweir ² , M. Alsonosi ¹
1-Department of Surgery, 2-Department of Community Medicine, Faculty of Medicine, Al-Arab Medical University, Benghazi, Libya
JMJ Vol.8, No.2 (Summer) 2008:143-145
Abstract
Objective: This study is conducted to find out the predictive risk factors of morbidity and mortality after major abdominal surgery in patients over 60 years old. Patients and Methods: A prospective case series study included all patients over 60 years old who were operated in one surgical unit at Al-Jala Hospital in Benghazi, during three years period between Jan 2002 to 2004. Variables included age, gender, ASA classification, type of procedure, preoperative and postoperative diagnosis as well as mortality were analysed. Results: Ninety one patients were involved in the study. Male predominance was observed 49 patients (53.8%). Mortality incidence was almost equally divided between male and female (14.2%) for each although male was predominant. Most of patients were in the age group 1and 2 (60y – 69y = 43 Patients and 70y -79y =42 Patients and few patients were in group 3 (> 80y = 6 Patients). 58.2% (53 patients) of cases came in emergency. Almost half of the patients (45%) belonged to the middle risk ASA group 3, with high statistical significance between the three groups (P< 0.01). The number of admitted patients above 60 years increased over the course of the study while the mortality rate decreased. Most of the patients fell into the benign diagnostic group (D1) followed by D3 and D7 of the malignant group. Conclusion:ASA classification of patients above 60 years of age is more important risk factor to determine the prognosis in major abdominal surgery. Keywords: Abdominal surgery, Age over 60 years, Benghazi Link/DOI: http://www.jmj.org.ly/modules.php?name=News&file=article&sid=1475