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  1. Surgery in the aged in Korea.

    Article - En anglais

    Objective 

    To compare clinical characteristics, including postoperative outcomes, in Korean patients 65 years and older with those of younger patients.

    Design 

    A retrospective medical record review.

    Setting 

    An adult university hospital.

    Participants 

    All patients who underwent various operative procedures, especially for stomach cancer, acute surgical abdomen, and abdominalwall hernia, in the Department of Surgery at Seoul National University Hospital, Seoul, Korea, in 1994 and 1995.

    Main Outcome Measures 

    Demographics, disease pattern, length and extent of operation, hospital course including postoperative complications, and mortality.

    Results 

    A clear increase in the patients 65 years and older was found.

    Of 2893 patients who underwent surgery in 1994,735 were 40 years and younger (group 1), 1691 were 41 to 64 years old (group 2), and 467 were 65 years and older (group 3).

    The most common disease was stomach cancer in all age groups, with the highest incidence in group 3. Emergency operations were performed most often in group 1 (P<. 05 ; X2 test).

    Malignant neoplasm requiring a surgical procedure was identified more frequently with age (P<. 001).

    Among patients with acute surgical abdomen, acute appendicitis was the most common disease in all age groups, whereas more serious diseases were found with age.

    In the analysis of stomach cancer, male patients increased with age (P<. 001). (...)

    Mots-clés Pascal : Chirurgie, Vieillard, Homme, Epidémiologie, Forme clinique, Etiologie, Diagnostic, Rétrospective, Postopératoire, Corée, Asie

    Mots-clés Pascal anglais : Surgery, Elderly, Human, Epidemiology, Clinical form, Etiology, Diagnosis, Retrospective, Postoperative, Korea, Asia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0095168

    Code Inist : 002B25N. Création : 14/05/1998.