Document Detail


Mortality in geriatric surgery. With special reference to the type of surgery, anaesthesia, complicating dieeases, and prophylaxis of thrombosis.
MedLine Citation:
PMID:  428735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The post-operative mortality of 17,199 patients of whom approximately 20% were aged 70 years or more was studied. The primary mortality of patients aged 70 or more in major operations was 9.2%. In emergency operations, the mortality was 36.8%, in elective surgery 7.8%. Pulmonary embolism was the cause of death in 33%, cardiac collapse in 11%, and the primary illness in 9%. The mortality of patients with mental diseases was 45%, of diabetics 26%, and of cardiac patients 17%. 39% of cardiac patients died of pulmonary embolism. 26% of all deaths occurred during the first 3 post-operative days, and 35% between the 4th and 7th post-operative day. In operations lasting more than 2 h, the mortality was 36%, in those lasting less than 2 h, 7.5%. Macrodex (dextran 70) infusions during high-risk operations decreased the incidence of lethal pulmonary embolism.
Authors:
S Palmberg; E Hirsjärvi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gerontology     Volume:  25     ISSN:  0304-324X     ISO Abbreviation:  Gerontology     Publication Date:  1979  
Date Detail:
Created Date:  1979-06-26     Completed Date:  1979-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7601655     Medline TA:  Gerontology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  103-12     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Amputation / mortality
Anesthesia
Diabetes Mellitus
Female
Finland
Geriatrics
Heart Diseases
Hip Joint / surgery
Humans
Intestinal Obstruction / surgery
Intestines / surgery
Male
Middle Aged
Postoperative Complications / prevention & control
Pulmonary Embolism / prevention & control
Respiratory Tract Diseases
Surgical Procedures, Operative / mortality*
Thigh / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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