Assessing the impact of an ageing population on complication rates and in-patient length of stay
Abstract Background Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%. Aims The aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral...
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Published in | International journal of surgery (London, England) Vol. 11; no. 9; pp. 872 - 875 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.01.2013
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Abstract | Abstract Background Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%. Aims The aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral centre in the west of Ireland and to examine whether increasing age had an influence on morbidity, mortality and length of stay. Methods Data pertaining to all surgical admissions over a 6-month period between was collected prospectively using an ACS-NSQIP based proforma. Data collected included patient age, gender, operative intervention, in-patient length of stay, mode of admission and complications related to their admission. Results A total of 2209 patients were admitted under the care of the general, vascular and breast services in our centre over a 6-month period between August and January. Two thousand and nineteen patients had complete data collected. The average age was 50.37 years (±23.62), with 24.12% ( n = 533) older than 70 years. Only 12.31% of patients aged younger than 70 years experienced morbidity, compared to 25.10% of older patients. It was shown that there was a stepwise increase with complication rates and hospital in-patient stay across each decade of increasing age. Multivariate analysis showed those factors most predictive of a complication to include emergency admission, major or complex major surgical intervention, female gender and age. Length of stay was also found to have a positive correlation with increasing age (Spearman's Rho, p < 0.001). Conclusion Increasing age is associated with increased complication rates and increased hospital length of stay. |
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AbstractList | Abstract Background Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%. Aims The aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral centre in the west of Ireland and to examine whether increasing age had an influence on morbidity, mortality and length of stay. Methods Data pertaining to all surgical admissions over a 6-month period between was collected prospectively using an ACS-NSQIP based proforma. Data collected included patient age, gender, operative intervention, in-patient length of stay, mode of admission and complications related to their admission. Results A total of 2209 patients were admitted under the care of the general, vascular and breast services in our centre over a 6-month period between August and January. Two thousand and nineteen patients had complete data collected. The average age was 50.37 years (±23.62), with 24.12% ( n = 533) older than 70 years. Only 12.31% of patients aged younger than 70 years experienced morbidity, compared to 25.10% of older patients. It was shown that there was a stepwise increase with complication rates and hospital in-patient stay across each decade of increasing age. Multivariate analysis showed those factors most predictive of a complication to include emergency admission, major or complex major surgical intervention, female gender and age. Length of stay was also found to have a positive correlation with increasing age (Spearman's Rho, p < 0.001). Conclusion Increasing age is associated with increased complication rates and increased hospital length of stay. BACKGROUNDIreland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%.AIMSThe aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral centre in the west of Ireland and to examine whether increasing age had an influence on morbidity, mortality and length of stay.METHODSData pertaining to all surgical admissions over a 6-month period between was collected prospectively using an ACS-NSQIP based proforma. Data collected included patient age, gender, operative intervention, in-patient length of stay, mode of admission and complications related to their admission.RESULTSA total of 2209 patients were admitted under the care of the general, vascular and breast services in our centre over a 6-month period between August and January. Two thousand and nineteen patients had complete data collected. The average age was 50.37 years (± 23.62), with 24.12% (n = 533) older than 70 years. Only 12.31% of patients aged younger than 70 years experienced morbidity, compared to 25.10% of older patients. It was shown that there was a stepwise increase with complication rates and hospital in-patient stay across each decade of increasing age. Multivariate analysis showed those factors most predictive of a complication to include emergency admission, major or complex major surgical intervention, female gender and age. Length of stay was also found to have a positive correlation with increasing age (Spearman's Rho, p < 0.001).CONCLUSIONIncreasing age is associated with increased complication rates and increased hospital length of stay. Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%. The aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral centre in the west of Ireland and to examine whether increasing age had an influence on morbidity, mortality and length of stay. Data pertaining to all surgical admissions over a 6-month period between was collected prospectively using an ACS-NSQIP based proforma. Data collected included patient age, gender, operative intervention, in-patient length of stay, mode of admission and complications related to their admission. A total of 2209 patients were admitted under the care of the general, vascular and breast services in our centre over a 6-month period between August and January. Two thousand and nineteen patients had complete data collected. The average age was 50.37 years (± 23.62), with 24.12% (n = 533) older than 70 years. Only 12.31% of patients aged younger than 70 years experienced morbidity, compared to 25.10% of older patients. It was shown that there was a stepwise increase with complication rates and hospital in-patient stay across each decade of increasing age. Multivariate analysis showed those factors most predictive of a complication to include emergency admission, major or complex major surgical intervention, female gender and age. Length of stay was also found to have a positive correlation with increasing age (Spearman's Rho, p < 0.001). Increasing age is associated with increased complication rates and increased hospital length of stay. Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%. The aim of this study was to examine the demographics of the population served by the surgical department in a tertiary referral centre in the west of Ireland and to examine whether increasing age had an influence on morbidity, mortality and length of stay. Data pertaining to all surgical admissions over a 6-month period between was collected prospectively using an ACS-NSQIP based proforma. Data collected included patient age, gender, operative intervention, in-patient length of stay, mode of admission and complications related to their admission. A total of 2209 patients were admitted under the care of the general, vascular and breast services in our centre over a 6-month period between August and January. Two thousand and nineteen patients had complete data collected. The average age was 50.37 years (±23.62), with 24.12% (n = 533) older than 70 years. Only 12.31% of patients aged younger than 70 years experienced morbidity, compared to 25.10% of older patients. It was shown that there was a stepwise increase with complication rates and hospital in-patient stay across each decade of increasing age. Multivariate analysis showed those factors most predictive of a complication to include emergency admission, major or complex major surgical intervention, female gender and age. Length of stay was also found to have a positive correlation with increasing age (Spearman's Rho, p < 0.001). Increasing age is associated with increased complication rates and increased hospital length of stay. |
Author | Kerin, Michael J McVeigh, Terri P Al-Azawi, Dhafir O'Donoghue, Gerrard T |
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10.1111/j.1532-5415.2005.53159.x contributor: fullname: Hamel – volume: 134 start-page: 637 issue: 8 year: 2001 ident: 10.1016/j.ijsu.2013.07.016_bib2 article-title: Impact of age on perioperative complications and length of stay in patients undergoing noncardiac surgery publication-title: Annals of Internal Medicine doi: 10.7326/0003-4819-134-8-200104170-00008 contributor: fullname: Polanczyk – year: 2008 ident: 10.1016/j.ijsu.2013.07.016_bib1 – year: 2013 ident: 10.1016/j.ijsu.2013.07.016_bib15 contributor: fullname: BUPA – volume: 40 start-page: 348 issue: 4 year: 2010 ident: 10.1016/j.ijsu.2013.07.016_bib9 article-title: Improving outcomes in older people undergoing elective surgery publication-title: Journal of the Royal College of Physicians of Edinburgh doi: 10.4997/JRCPE.2010.416 contributor: fullname: Dhesi |
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Snippet | Abstract Background Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1%... Ireland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to 2.1%. The aim of... BACKGROUNDIreland has an ageing population; with the proportion of people aged over 80 years estimated to increase over the next 20 years from 1.1% to... |
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SubjectTerms | Adult Age Factors Aged Elderly Female Geriatric Humans Ireland - epidemiology Length of Stay - statistics & numerical data Male Middle Aged Morbidity Morbidity and mortality Multivariate Analysis Postoperative Complications - epidemiology Prospective Studies Surgery Surgical complications Surgical outcomes Treatment Outcome |
Title | Assessing the impact of an ageing population on complication rates and in-patient length of stay |
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