Abstract:

haracteristics in elderly patients over 80 years old with acute abdomenZHENG Ya-min, CAO Feng, LIU Qiang, LIU Dong-bin, WANG Yue-hua, LIU Jia-feng, LI Fei.Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
【Ａｂｓｔｒａｃｔ】　ＯｂｊｅｃｔｉｖｅTo evaluate the characteristics of diagnosis and treatment in elderly patients over 80 years old with acute abdomen.Ｍｅｔｈｏｄｓ5426 elderly patients with acute abdomen were enrolled from January 1, 2002 to December 31, 2009 in our hospital and were divided into two groups according age: one group with patients≥80 years old(420 cases) and another group <80 years old(5006 cases). Data were analyzed include operability rate, mortality, lenght of stay and admission fee.ＲｅｓｕｌｔｓMore and more aged patients were treated in hospital. They went to hospital in from 2 h to 21 d after unfitness. They often have several complications including respiratory, cardiovascular system diseases. Compared with<80 group, operability rate was lower (48.09％ vs 64.19％,P＜0.01),mortality was higher(3.33％ vs 1.38％,P＜0.01),mean hospital length of stay was longer (16.76±11.49 d vs 14.50±16.08 d,P＜0.01),admission fee was more significantly increased (RMB 23 733.11±30 571.75 vs 18 530.83±29 637.46,P＜0.01)in group≥80.ＣｏｎｃｌｕｓｉｏｎｓCharacteristic of elderly patients should be payed attention to in favor of increasing efficiency in diagnosis and treatment and making medical policy.
【Key　ｗｏｒｄｓ】acute abdomen; aged over 80; characteristics of diagnosis and treatment