Introduction:

during the last decades, various predictive models of mortality have been developed, but only a limited number of them have been specifically designed to estimate surgical mortality in the elderly.

Objective:

analyze the characteristics of the predictive models of mortality used in the elderly with acute abdomen surgical.

Development:

the review was carried out using search engines such as Google Scholar, were consulted 112 articles in spanish and english in the databases of SciELO, Pubmed and Dialnet.

Conclusions:

APACHE II score and the POSSUM scale are the more reliable mortality predictive models, disseminated and used worldwide in the older adult with acute surgical abdomen. It will be necessary to unify variables of these models and add the physiological fragility of the elderly in order to achieve a more reliable and safe in this specific patient population.

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