Outcomes of surgery in patients 90 years of age and older

M. P. Hosking, M. A. Warner, C. M. Lobdell, K. P. Offord, L. J. Melton

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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 wers 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
JournalJournal of the American Medical Association
Volume261
Issue number13
StatePublished - 1989

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hosking, M. P., Warner, M. A., Lobdell, C. M., Offord, K. P., & Melton, L. J. (1989). Outcomes of surgery in patients 90 years of age and older. Journal of the American Medical Association, 261(13), 1909-1915.

Outcomes of surgery in patients 90 years of age and older. / Hosking, M. P.; Warner, M. A.; Lobdell, C. M.; Offord, K. P.; Melton, L. J.

In: Journal of the American Medical Association, Vol. 261, No. 13, 1989, p. 1909-1915.

Research output: Contribution to journalArticle

Hosking, MP, Warner, MA, Lobdell, CM, Offord, KP & Melton, LJ 1989, 'Outcomes of surgery in patients 90 years of age and older', Journal of the American Medical Association, vol. 261, no. 13, pp. 1909-1915.
Hosking MP, Warner MA, Lobdell CM, Offord KP, Melton LJ. Outcomes of surgery in patients 90 years of age and older. Journal of the American Medical Association. 1989;261(13):1909-1915.
Hosking, M. P. ; Warner, M. A. ; Lobdell, C. M. ; Offord, K. P. ; Melton, L. J. / Outcomes of surgery in patients 90 years of age and older. In: Journal of the American Medical Association. 1989 ; Vol. 261, No. 13. pp. 1909-1915.
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