Soyalp, CelaleddinYuzkat, NureddinKilic, MehmetAkyol, Mehmet EdipDemir, Canser YilmazGulhas, Nurcin2025-05-102025-05-1020191594-06671720-831910.1007/s40520-018-0976-z2-s2.0-85047661406https://doi.org/10.1007/s40520-018-0976-zhttps://hdl.handle.net/20.500.14720/13576Akyol, Mehmet Edip/0000-0002-5198-0219; Soyalp, Celaleddin/0000-0002-2687-5329AimTo evaluate operative and prognostic parameters associated with elective versus emergency surgery in a retrospective cohort of elderly patients.MethodsA total of 533 geriatric patients (aged65 years, median age: 73.0 years, 50.7% were females) who underwent either elective surgery (n=285) or emergency surgery (n=248) were included in this study. Data on patient demographics, co-morbid disorders, type of surgery and anesthesia, American Society of Anesthesiologists (ASA) physical status (PS) classification, length of hospital stay, length of ICU stay, hospitalization outcome, prognosis (survivor, non-survivor) were obtained from medical records.ResultsEmergency surgery group was associated with higher prevalence of ASA-PS III (48.8 vs. 25.6%, p<0.001) and ASA-PS IV (19.0 vs. 0.4%, p<0.001) categories and higher mortality rates (20.6 vs. 4.9% vs. p<0.001) when compared to the elective surgery group. ASA-PS IV category was associated with oldest patient age (median 82.0 vs. 71.0years for ASA-PS I and II, p<0.001 for each and versus 75.0years for ASA-PS III, p<0.05) and highest mortality rate (35.4 vs. 3.4% for ASA-PS I, 6.0% for ASA-PS II and 16.5% for ASA-PS III, p<0.001) as compared with other categories.ConclusionIn conclusion, our findings in a retrospective cohort of elderly surgical patients revealed high prevalence of co-morbidities, predominance of ASA-PS II or ASA-PS III classes and an overall in-hospital mortality rate of 12.2%. Emergency as compared with elective surgery seems to be associated with older age, male gender, ASA-PS III and IV classes, higher likelihood of postoperative ICU transfer and higher mortality rates.eninfo:eu-repo/semantics/closedAccessElderlySurgeryEmergencyElectiveAnesthesiaCo-MorbidityAsa ClassMortalityArticle313Q2Q240341029845557WOS:000461874700014