EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

OUTCOME OF ELDERLY PATIENTS UNDERGOING ACUTE SURGICAL PROCEDURES: A STUDY IN MARKS MEDICAL COLLEGE & HOSPITAL, DHAKA, BANGLADESH

Iqbal Masud Khan*, Nishat Farhana Khan, Md. Zakir Hossain, Nabaneeta Sarker and Nayeem

ABSTRACT

Introduction: Life expectancy and the geriatric population have increased steadily in recent decades. By 2030, people more than 65 years will account for 20% of overall population. The society is continuing to age and with luck, fortunately this trend is continuing. Objective: To evaluate the outcome of elderly patients undergoing acute surgical procedures. Methods: This was a non-comparative and non-randomized prospective clinical study in MARKS Medical College & Hospital, Dhaka, Bangladesh during from January to December-2017. All the patients of age 65 years & above who underwent emergency general surgeries under general/epidural/spinal anaesthesia in the institute were included in the study. Patients comorbid conditions, post-hospital complications and in-hospital mortality were assessed. Charlson Comorbidity Index Score was calculated. Results: More than one third of patients were between 65-70 years of age (46.3%). Perforation peritonitis was the most common diagnosis (46.3%). The overall mortality was in 5 (9.3%, 95%CI=4.0-19.9) patients. Diabetes mellitus and hypertension was present among 44.4% and 40.7% patients respectively. Charlson Comorbidity Index <5 was among 53.7% patients and Charlson Comorbidity Index ≥5 was among 46.3% patients. Gastrointestinal was the most common post-op complication (48.1%). Conclusion: The surgical outcome of a surgical operation in the elderly will be dependent on the physical status of the patient preoperatively. More than the age per say, the delay in presentation may be the cause for mortality in this age group.

Keywords: Geriatric patients, Charlson comorbidity index; Comorbidity, Mortality, Emergency.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing