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KMID : 0614619920240051147
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Korean Journal of Gastroenterology
1992 Volume.24 No. 5 p.1147 ~ p.1153
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Clinical Review of Surgical Geriatric patients over 70 Years of Age
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Abstract
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The clinical records of surgical geriatric patiets over 70 years of age who were admitte dto the surgical department of Keimyung Universtiy Hospital (Doing San Medical Center) from janury 1981 to December 1990 were reviewed and the following
results of
statistical analysis was obtaine.d
1) Surgery was performed in 392 patients over 70 years of age.
2) The sex distribution was 212 males and 180 females, ratio was 1.18:1 (1:0. 85).
3) The most common age distribution was 70 to 74 years of age which was 65.05% of the total patients.
4) Benign disease was 72.19% of patients of which acute appendicitis was the most frequent benign disease Malignant disease was 27.81% of all and stomach cancer was the most frequent malignant disease.
5) 120 cases (30.61%) had combined diseases, pulmonary disease (35%) was the most frequent combined disease. and the next was cardiovasculr disease (30%).
6) General anesthesia was used during surgery on 93.1!% of all patietns and the most common duration was 1 to 2 hours (41.64%).
7) Postoperative complications occurred in 92 cases (23.47%). Wound complications (59.78%) were the most common complications and the next was pulmonary (15.22%) and voiding difficulty (15, 22%).
8) There were 8 cases of postoperative deaths and the mortality was 2.2%.
9) The lenght of admission for patients over 70 years of age was most commonly 8 to 14 days and the average length of stay was 20.3 dyas.
The results of the clinical studies of aged patients as shown above indicates that age itself is not a contraindication for surgery because of the newly developed medical services. An increase in life span and quality, early diagnosis, and better
and
more effective treatment of pre and post operative care and anesthesia produces the same morbidity and mortality as patients in general and makes it possible for us to treat all patients alike.
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