解放军医学杂志2012，Vol.37Issue(3)：246-248,3.
高龄急诊患者的外科风险评估(附146例报告)
Surgical risk assessment among elderly emergency patients: a report of 146 cases
史继荣 1刘斯 1赵建勋1
作者信息
- 1. 100034 北京 北京大学第一医院普通外科
- 折叠
摘要
Abstract
Objective The current study aims to investigate the methods of prediction of postoperative outcome and to provide the foundation for improving the safety of operations among elderly emergency patients. Methods Clinical data of 146 elderly emergency patients admitted between January 2009 and December 2010 to Department of General Surgery of Peking University First Hospital were analyzed retrospectively. Among them, 63 patients were male and 83 were females, with age ranging from 71 to 95 (77.9 ± 5.2). The POSSUM score system was used to calculate the occurrence of postoperative complications and mortality. The P-POSSUM score system was used to calculate postoperative mortality and to compare with the actual results. Results The postoperative complications were 91 (62.3%) and morbidity was 30 (20.5%) based on the POSSUM system. On the other hand, the predicted postoperative mortality was determined to be 15 (10.3%), whereas the occurrence of actual complications and death was 74 (50.7%) and 5 (3.4%), respectively, based on the P-POSSUM score system. The score of operative severity, length of hospital stay, and hospitalization cost of patients with postoperative complications were significantly higher compared with patients without postoperative complications (P<0.0l). The longer the operation time, the more postoperative complications occurred. Conclusions POSSUM score and P-POSSUM score can predict the occurrence of postoperative complications and mortality. The duration of surgery should be shortened as much as possible for elderly emergency patients to reduce postoperative complications.关键词
急诊处理/治疗结果/老年人Key words
emergency treatment/ treatment outcome/ aged分类
医药卫生引用本文复制引用
史继荣,刘斯,赵建勋..高龄急诊患者的外科风险评估(附146例报告)[J].解放军医学杂志,2012,37(3):246-248,3.
