Outcomes of Surgery in Patients 90 Years of Age and Older

Michael Hosking, Mark A. Warner, Creig M. Lobdell, Kenneth P. Offord, L. Joseph Melton

Research output: Contribution to journalArticle

214 Citations (Scopus)

Abstract

During the 11-year period 1975 through 1985, seven hundred ninety-five patients 90 years of age and older underwent operative procedures at the Mayo Clinic, Rochester, Minn. Overall serious morbidity within 48 hours after surgery was 9.4%, and the mortality was 1.6%. The 30-day, 1-year, and 5-year mortality rates were 8.4%, 31.4%, and 78.8%, respectively. Short-term morbidity and both short- and long-term mortality were highly associated with the American Society of Anesthesiologists physical status classification of the patient. Emergency procedures carried a significantly higher risk for morbidity and mortality within the 48-hour period and, to a lesser extent, for long-term mortality. Overall, poorer patient survival was associated with higher American Society of Anesthesiologists class; male sex; preoperative renal, liver, and central nervous system impairment; and surgery on the mouth, nose, or pharynx. When compared with age-, sex-, and calendar Year-matched peers from the general population, there was a modest decrease in patient survival at 1 year that reversed by 2 years, with observed survival at 5 years comparable to the rate expected.

Original languageEnglish (US)
Pages (from-to)1909-1915
Number of pages7
JournalJAMA: The Journal of the American Medical Association
Volume261
Issue number13
DOIs
StatePublished - Apr 7 1989
Externally publishedYes

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Mortality
Morbidity
Survival
Operative Surgical Procedures
Pharynx
Nose
Mouth
Emergencies
Central Nervous System
Kidney
Liver
Population

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Outcomes of Surgery in Patients 90 Years of Age and Older. / Hosking, Michael; Warner, Mark A.; Lobdell, Creig M.; Offord, Kenneth P.; Melton, L. Joseph.

In: JAMA: The Journal of the American Medical Association, Vol. 261, No. 13, 07.04.1989, p. 1909-1915.

Research output: Contribution to journalArticle

Hosking, Michael ; Warner, Mark A. ; Lobdell, Creig M. ; Offord, Kenneth P. ; Melton, L. Joseph. / Outcomes of Surgery in Patients 90 Years of Age and Older. In: JAMA: The Journal of the American Medical Association. 1989 ; Vol. 261, No. 13. pp. 1909-1915.
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