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Dr. Hannan Sajid
Dr. Muhammad Aqib
Dr. Rabia Irfan
Dr. Hassaan Sajid
Dr Zakir Jamal
Dr Ayesha Rehab


Elderly, Emergency or Elective Surgery, Morbidity, Mortality


 Aim: The purpose of the study is to determine various aspects that affect the outcome of elderly
patients undergoing various surgical procedures in the surgery department.
Place and Duration: In the Surgical department of, PIMS Hospital, Islamabad for two-year duration
from January 2021 to December 2022
Methods: This is a retrospective, descriptive analysis of all patients 60 years of age and older (n=200)
who underwent elective or emergency surgical procedures. One of the co-authors was given authority
for collecting all patient records aged over 60 who underwent various surgical procedures. To
investigate common comorbidities in elderly patients and their impact on overall surgical outcomes,
all patient records were studied and data was recorded on a proforma. The data was statistically
analyzed with SPSS version 21.0.
Results: 200 patients aged >60 years admitted for emergency or elective general surgery were
included in this study. The patients mean age was 65.8 years, mean BMI was 26.1 kg/m2, and 70%
of the participants were men. In elderly patients, 85% had comorbidities. In this study, 85.5% of
patients used minimum one medication at home before hospitalization. The Hernia repair (20.5%),
Resection of the colon (22.5%), resection of the small intestine (19%) or Cholecystectomy (17%)
were the most common elective or emergency procedures of general surgery, followed by laparotomy
(9%). The most common complication (6% of patients) were pulmonary in nature and included
pneumonia, pulmonary embolism, and respiratory failure (requiring treatment in the intensive care
unit). In total, 30 very elderly patients who required emergency surgery died in the hospital (mortality
Conclusions: In conclusion, mortality among elderly adult patients undergoing urgent hernia surgery
is high. Surgery remains difficult for the elderly due to coexisting health problems. This is an early
planned hernia repair that is highly recommended.


Abstract 52 | pdf Downloads 17


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