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Advisor(s)
Abstract(s)
Objectives: Emergency Hartmann“s procedure is associated with significant morbidity and mortality, particularly in the elderly populations. Our aim is to compare the short term outcomes of old [65-80 years old[ and very old patients (80 or more) submitted to this procedure.
Materials: Between January 2008 and December 2012 we submitted to emergency Hartmann“s procedure 105 patients: 65 old and 40 very old. We retrospectively reviewed patient charts and comparatively analysed demographic data, indications to surgery, P-POSSUM, ASA, intensive care unit stay, medical and surgical morbidity and 30-day mortality and performed univariate and multivariate logistic regression analysis.
Results: x female, years . Comparing the Old and Very Old groups - Neoplasia (41% vs 47,5%), Acute Diverticulitis (31% vs 22,5%); 30-day mortality rate of 10% vs 45% (p value<0,05).
Conclusions: Very old age was an independent factor of morbidity and mortality in emergency Hartmann“s procedure in our patients.
Description
Keywords
Hartmann“s procedure Emergency treatment Diverticulitis Aged
Citation
SCIENTIFIC AND ANNUAL MEETING OF THE EUROPEAN SOCIETY OF COLOPROCTOLOGY, 8, Belgrade, 25-27 September 2013
Publisher
European Society of Coloproctology