. Ladan Ghadami; . Seyed Amir Mahlisha Kazemi Shishvan; . Arash Shirdel; . Abolfazl Dorost; . Abbas Homauni; . Nayereh Sadat Rohollahi; . Arash Jafarieh
Volume 9, Issue 12 , December 2019, , Pages 1-6
Abstract
AIM: The purpose of this study was to investigate the effects of delay in the operation and counselingon postoperative complications and mortality rates in elderly patients.METHODOLOGY: ...
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AIM: The purpose of this study was to investigate the effects of delay in the operation and counselingon postoperative complications and mortality rates in elderly patients.METHODOLOGY: The present study was a descriptive cross‑sectional research. Population of thisstudy was the entire elderly hospitalized patients who aged over 55 years for emergency orthopedicsurgeries in a teaching hospital in Tehran. Surgery delays were then determined after examining thechecklists, and the relationship between the variables and surgery delays, number of preoperativecounseling, complications, and mortality rate was evaluated. Data were analyzed using the Mann–Whitney U‑test and Pearson correlation coefficient in SPSS 18 at a 0.05 significance level.RESULTS: Overall, 89.9% of the patients had counseling. The average hospitalization days were5 days until surgery, and the standard deviation was 0.50. The mean counseling number was 5.5.The relationship between number of counseling and surgical delays was significant. Delay in surgeryin this age group, mortality, and the chances of death have become 2.7 times more than who had nota surgical delay. No significant relationship was observed between surgery delay and the incidenceof Deep Venous Thrombosis (P = 0.102), postoperative sepsis and Myocardial Infarction (P = 0.337),embolism (P = 0.505), and postoperative Cerebrovascular Accident (P = 0.153).CONCLUSIONS: The delay in surgery in the elderly causes an increase in mortality. Consideringthe findings of this study and the importance of emergency orthopedic surgeries in the elderly, toreduce the surgical delays and the mortality rate in the elderly, the establishment of a surgical teamfor elderly patients in hospitals is recommended.