Abstract:
INTRODUCTION:Frailty degree can influence more than age or severity in the outcome of patients older than 70 years undergoing surgery of the digestive system that require immediate postoperative control in the ICU. METHODS:A prospective and observational study of patients over 70 years of age who were admitted to the surgical ICU of a third level hospital immediately after an elective or emergent surgical intervention on the digestive system from June 1, 2018 until June 1, 2019. The variables age, frailty Clinical Frailty Scale (CFS), and modified Frailty Index (mFI), severity (APACHE II), type of surgery, surgical pathology were recorded upon admission. A bivariate analysis was performed to assess the influence of frailty and severity on hospital morbidity and mortality and baseline situation of the patient (in terms of dependence) at 6 months. RESULTS:A total of 90 patients were recruited, 54.4% of whom were reoperated; 74.4% were initially discharged from the ICU, with 28.4% of readmission and directly associated to frailty (CFS and mFI: P<0.01). The overall mortality at 6 months was 44.5% being CFS (OR = 64.3; P<0.05, 95% CI: 12.3-333.9) and APACHE II (OR = 1.17; P<0.05; 95% CI: 1.04-1.32) the covariates that best related. CONCLUSIONS:The estimation of frailty by CSF and mFI is directly associated to the surgical morbidity and readmission of elderly and severe patients admitted to the ICU. In addition, CFS and mFI has been efficient as a predictive of mortality at 6 months.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Ruiz de Gopegui Miguelena P,Martínez Lamazares MT,Miguelena Hycka J,Claraco Vega LM,Gurpegui Puente Mdoi
10.1016/j.ciresp.2020.04.022subject
Has Abstractpub_date
2021-01-01 00:00:00pages
41-48issue
1eissn
0009-739Xissn
1578-147Xpii
S0009-739X(20)30159-7journal_volume
99pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract:INTRODUCTION:Proctologic issues entail a frequent reason for consultation in the emergency department (ED). We aim to analyze how the SARS-COV-2 pandemic has impacted in the demand for proctological consultations. MATERIAL AND METHOD:Descriptive comparative retrospective study of cross-sectional cohorts of patients at...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.10.002
更新日期:2020-10-23 00:00:00
abstract:INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complicatio...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.09.001
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:The main objective of this study is to determine if our unit meets the quality standards required by the scientific community from the reference centers for pancreatic surgery in terms of peri-operative results. The secondary objectives are to compare the different pancreatic surgery techniques performed i...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.09.013
更新日期:2020-12-17 00:00:00
abstract::Chronic anal fissure is a common benign anorectal problem in Western countries that substantially impairs the patient's life. Consequently, a rapid and effective solution is required. We reviewed the various treatments for chronic anal fissure described in the literature, with the aim of establishing a therapeutic pro...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(05)70893-9
更新日期:2005-08-01 00:00:00
abstract:INTRODUCTION:The choice of immediate or delayed surgery in patients with common bile duct calculi without severity criteria is controversial. Studies of patients with common bile duct calculi show that in a considerable percentage of these patients there is spontaneous passage of these stones without the need for surge...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70891-0
更新日期:2006-06-01 00:00:00
abstract::When bariatric and metabolic surgery initially began in Spain, it was a subject of debate, due to not knowing exactly who were the first surgeons to perform it. A study has revealed the authors of the first interventions. ...
journal_title:Cirugia espanola
pub_type: 历史文章,杂志文章
doi:10.1016/j.ciresp.2012.11.003
更新日期:2013-08-01 00:00:00
abstract::The primary treatment of metastatic breast cancer is chemotherapy and radiotherapy, while surgery is reserved for treating local complications associated with the tumour. The survival in this group of patients has increased with the use of new chemotherapy and biological agents. A series of retrospective studies have ...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(08)70507-4
更新日期:2008-02-01 00:00:00
abstract:INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity. MATERIAL AND METHOD:We describe the need to perform laparoscopic re...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71659-7
更新日期:2007-07-01 00:00:00
abstract::The training of residents in abdominal wall surgery is a fundamental aspect of surgical training, representing globally 20% of its activity. In this paper, we analyze the current state of resident training in this kind of surgery in Spain, taking into account the broad spectrum it covers: general services, specific fu...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.08.004
更新日期:2013-02-01 00:00:00
abstract:AIM:To assess the value of using smooth muscle relaxants drugs and assess the results of the topical use of 2% diltiazem as an alternative to 0.2% nitroglycerin in the treatment of chronic anal fissure (CAF). METHODS:Review of the CAF contained in a prospectively collected database of anal fissures including one hundr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.12.013
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:To evaluate satisfaction among patients who underwent thoracic sympathectomy for primary hyperhidrosis and the possible complications after a minimum of 14 months after surgery. MATERIAL AND METHODS:We performed a retrospective study in 108 patients who underwent thoracic sympathectomy and who responded to a...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70876-4
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:Colon perforation is a fairly uncommon, but serious, complication during endoscopy of the lower gastrointestinal tract. Treatment is controversial, although surgery is used in the majority of cases. The aims of this study were to determine the incidence of perforations due to colonoscopy in our hospital an...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.04.004
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.08.005
更新日期:2009-12-01 00:00:00
abstract:INTRODUCTION:During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by tel...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.06.019
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programs in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS pro...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.04.009
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:The new methods of teaching, based on new technologies, already available in other educational and professional fields are gradually being introduced in our Medical Schools. The aim of our study is to present our initial experience in the introduction of a subject on the principles of surgery in our univer...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.01.001
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized. METHODS:A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity. RESULTS:All o...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.02.010
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION:Gastrointestinal stromal tumours (GIST) make up 2% of gastrointestinal tumours. Surgery is the only treatment method in localised cases. The laparoscopic approach has increased over the last few years. We present our experience in the treatment of GIST. MATERIAL AND METHODS:A total of 40 patients with 45 ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.04.011
更新日期:2013-01-01 00:00:00
abstract:INTRODUCTION:Laparoscopic Heller myotomy has become the gold standard procedure for patients with achalasia. This study evaluates the clinical status, quality of life, and functional outcomes after laparoscopic Heller myotomy. MATERIAL AND METHODS:We analyzed patients who underwent laparoscopic Heller myotomy with an ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.06.007
更新日期:2014-03-01 00:00:00
abstract::Pheochromocytomas are uncommon neuroendocrine tumors. They are usually symptomatic and sporadic and are generally located in the adrenal medulla. We present two cases of extra-adrenal nonfunctional pheochromocytomas located in the retroperitoneum. The tumors were apparently benign and sporadic and were not associated ...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(05)70830-7
更新日期:2005-03-01 00:00:00
abstract:INTRODUCTION:Natural orifice endoscopic surgery is a new surgical procedure still in the development phase. The most natural entry for surgeons is to use an already existing scar, such as the navel. The recent introduction of trocars designed for this purpose has made it possible to put this into practice. MATERIAL AN...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.08.003
更新日期:2010-11-01 00:00:00
abstract:INTRODUCTION:Intrahepatic cholangiocarcinoma is a primary liver neoplasm whose only curative treatment is surgery. The objective of this study was to determine the prognostic factors for survival of intrahepatic cholangiocarcinoma treated surgically with curative intent. METHODS:Sixty-seven patients who had been treat...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.07.003
更新日期:2020-09-10 00:00:00
abstract:INTRODUCTION:The objectives of this study were: a) to evaluate the effectiveness of intraoperative intact parathyroid hormone (PTHi) determination as a marker of hyperparathyroidism resolution; b) to establish the minimum number of blood samples required; and c) to determine whether cervical manipulation increases base...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70830-2
更新日期:2006-02-01 00:00:00
abstract:INTRODUCTION:The only curative treatment of pelvic recurrence of rectal cancer is radical resection. The aim of this paper is to analyze our experience in surgery for local recurrence of rectal cancer. METHODS:We performed a descriptive retrospective analysis of patients treated with curative intent for local recurren...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.08.003
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION:The extracervical approach for thyroidectomy remains widely unknown in our country. Its main aim is to avoid a cervical scar while maintaining the same safety profile of conventional thyroidectomy. The objective is to communicate our experience after the first 15 cases using the endoscopic bilateral axillo...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2018.11.006
更新日期:2019-02-01 00:00:00
abstract::The prognosis of patients with rectal cancer has improved in recent years, particularly as regards the lower probability of local recurrence. These positive results are obtained through correct preoperative staging and an adequate surgical resection of the affected lesion, as well as a multidisciplinary therapeutic ap...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.03.004
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:An analysis is presented of the results in the treatment of morbid obesity after 12 years experience. MATERIAL AND METHODS:A retrospective study of patients subjected to surgery for morbid obesity from July 1998 to April 2010. Open techniques were initially used, and from January 2005 using biliopancreati...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.05.005
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION:The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery. MATERIAL AND METHODS:A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.04.006
更新日期:2010-08-01 00:00:00
abstract::Serrated polyps of the colorectum are a heterogeneous group of lesions with potential malignant transformation through the «serrated pathway» of carcinogenesis. The discovery of these lesions has been a paradigm shift in the concept of the adenoma-carcinoma sequence, so that up to 30% of tumors develop through this pa...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2012.12.001
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.12.002
更新日期:2021-01-20 00:00:00