A population-based analysis of the morbidity and mortality of gallbladder surgery in the elderly

McKay, Andrew; Katz, Alan; Lipschitz, Jeremy

doi:10.1007/s00464-012-2746-x

Cited by 11 publications

(12 citation statements)

References 25 publications

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“…Supporting our data, McGillicuddy et al found that there was no significant difference in sex distribution in elderly patients with AC (11). McKay et al also reported similar results in elderly patients with AC who had undergone surgery (12).…”

Section: Discussionsupporting

confidence: 88%

Comparison of ultrasonographic and laboratory findings of acute cholecystitis between elderly and nonelderly patients

LÜLLECİ¹,

Başyiğit²,

Sapmaz³

et al. 2016

Turk J Med Sci

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Section: Discussionsupporting

confidence: 88%

Comparison of ultrasonographic and laboratory findings of acute cholecystitis between elderly and nonelderly patients

LÜLLECİ¹,

Başyiğit²,

Sapmaz³

et al. 2016

Turk J Med Sci

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“…In line with our study, a study observed no significant differences of gender in old age AC patients 17 . In another research, similar findings were reported in AC old age patients as compared with middle age patients 18 .…”

Section: Discussionsupporting

confidence: 80%

Acute Cholecystitis: A comparative study of hematological and ultrasonography findings among middle aged and elderly

Ikram¹,

Gul²,

Zahid³

et al. 2021

PJMHS

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Aim: To determine the differences in-between hematological and ultrasonography findings of acute cholecystitis (AC) among middle-aged versus elderly patients. Methodology: This retrospective study was carried out after ethical approval. Patients diagnosed as case of acute cholecystitis was included and patients without findings consistent with acute cholecystitis or with pancreatitic gall stones, co-existing hepato-biliary or intestinal malignancy or with autoimmune biliary disease were excluded. Patients were divided into two groups, one being patients between 30 to 59 years and other group 60 and above year olds. Results: From total of 153 patients included, 87 patients were between 30 and 59 years (middle aged) while 66 patients were 60 years and older (elderly). In both the groups, higher ratios of females persisted (p-0.03). A significant differences between the values were observed only in WBC count (p-0.005) and CRP levels (p<0.001) between middle aged and older age group while all other laboratory variables were found to have an insignificant difference between both the groups. Conclusion: WBC count and CRP level which were observed to be higher among older age patients, compared with middle aged patients. Such alterations in older aged patients ought to be considered when deciding treatment protocols which will have major influence on the prognosis. Keywords: Acute Cholecystitis, C-reactive protein, Systemic Inflammatory Response, Aging Physiology

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“…In Europe alone, almost 30% of the population is predicted to be aged 65 or over by 2050 [ 20 ]. Geriatric patients frequently undergo emergency general surgery and accrue more postoperative complications and fatal outcomes than the general population [ 5 , 13 , 16 ]. It is thus highly relevant to develop and guide evidence-based patient-centered decision-making around emergency surgical care [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Patients over 65 years with Acute Complicated Calculous Biliary Disease are Treated Differently—Results and Insights from the ESTES Snapshot Audit

et al. 2021

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Background Accrued comorbidities are perceived to increase operative risk. Surgeons may offer operative treatments less often to their older patients with acute complicated calculous biliary disease (ACCBD). We set out to capture ACCBD incidence in older patients across Europe and the currently used treatment algorithms. Methods The European Society of Trauma and Emergency Surgery (ESTES) undertook a snapshot audit of patients undergoing emergency hospital admission for ACCBD between October 1 and 31 2018, comparing patients under and ≥ 65 years. Mortality, postoperative complications, time to operative intervention, post-acute disposition, and length of hospital stay (LOS) were compared between groups. Within the ≥ 65 cohort, comorbidity burden, mortality, LOS, and disposition outcomes were further compared between patients undergoing operative and non-operative management. Results The median age of the 338 admitted patients was 67 years; 185 patients (54.7%) of these were the age of 65 or over. Significantly fewer patients ≥ 65 underwent surgical treatment (37.8% vs. 64.7%, p < 0.001). Surgical complications were more frequent in the ≥ 65 cohort than younger patients, and the mean postoperative LOS was significantly longer. Postoperative mortality was seen in 2.2% of patients ≥ 65 (vs. 0.7%, p = 0.253). However, operated elderly patients did not differ from non-operated in terms of comorbidity burden, mortality, LOS, or post-discharge rehabilitation need. Conclusions Few elderly patients receive surgical treatment for ACCBD. Expectedly, postoperative morbidity, LOS, and the requirement for post-discharge rehabilitation are higher in the elderly than younger patients but do not differ from elderly patients managed non-operatively. With multidisciplinary perioperative optimization, elderly patients may be safely offered optimal treatment. Trial Registration ClinicalTrials.gov (Trial # NCT03610308).

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A population-based analysis of the morbidity and mortality of gallbladder surgery in the elderly

Abstract: Emergency gallbladder surgery in the elderly was not associated with higher mortality or complication rate compared with the elective setting. Elderly patients with gallbladder-related emergencies should be offered urgent surgery when feasible.

Cited by 11 publications

References 25 publications

Comparison of ultrasonographic and laboratory findings of acute cholecystitis between elderly and nonelderly patients

Comparison of ultrasonographic and laboratory findings of acute cholecystitis between elderly and nonelderly patients

Acute Cholecystitis: A comparative study of hematological and ultrasonography findings among middle aged and elderly

Patients over 65 years with Acute Complicated Calculous Biliary Disease are Treated Differently—Results and Insights from the ESTES Snapshot Audit

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