Abstract

VALDES JIMENEZ, Jesús M et al. Abdomen agudo quirúrgico en el anciano. Rev Cubana Cir [online]. 2002, vol.41, n.1, pp. 23-27. ISSN 1561-2945.

A descriptive and retrospective study of 156 patients over 65 with diagnosis of acute surgical abdomen (ASA) that were operated on at "Manuel Fajardo" Clinical and Surgical Hospital and admitted at the Polyvalent Intermediate Care Unit, from 1995 to 1998, was conducted. The most common causes of the syndrome were intestinal occlusion (58.9 %), acute cholecystitis (13.5 %) and the gastroduodenal perforated peptic ulcer (10.9 %). The associated diseases of highest prevalence were ischemic heart disease (62.2 %) and arterial hypertension (48.7 %). Mortality increased with age and amounted to 70.4 % in patients over 85. The infection of the surgical wound (12.8 %) and bronchopneumonia (5.8%) prevailed among the complications. Sepsis (10.3 %) was the main cause of death

Keywords : ABDOMEN, ACUTE [surgery]; ABDOMEN, ACUTE [complications]; ABDOMEN, ACUTE [mortality]; AGED; AGED, 80 AND OVER.

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