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Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study

Citation

Rosa, Fausto et al. (2022), Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study, Dryad, Dataset, https://doi.org/10.5061/dryad.h18931znh

Abstract

Objective: To analyze and compare the clinical outcomes between patients ≥80 years and patients 65-79 years, presented to our Emergency Department (ED) with the two most common Gastric Emergencies (GE) clinical presentation, i.e. gastric bleeding and gastric perforation.

Design: Single-center retrospective cohort study.

Participants: A total of 1011 patients were enrolled: 421 patients aged ≥80 years were compared to a group of 590 patients aged 65-79 years.

Primary and secondary outcome measures: The primary outcome was to compare the overall mortality. Secondary outcomes included major complications, in-hospital length of stay (LOS), and need for surgical procedures.

Results: Patients ≥80 years with GE had different presentation at Emergency Department compared to younger patients: they had higher gastrointestinal bleeding (24.9% vs. 16.3%; p = 0.001), anemization (14.5% vs. 8.8%; p= 0.005), and shock (10.9% vs. 5.1%; p = 0.001) rates. Median LOS, cumulative major complications and mortality rates were similar among the two groups.

Multivariate analysis identified shock, gastric malignancy, and gastric fistula as independent predictors for survival.

Conclusions: Patients ≥80 years with GE did not have a higher mortality rate and cumulative major complications as compared to younger elderly patients. Invasive treatments were not associated to a different prognosis in this age group.

Methods

Design: Single-center retrospective cohort study.

Participants: A total of 1011 patients were enrolled: 421 patients aged ≥80 years were compared to a group of 590 patients aged 65-79 years.

Primary and secondary outcome measures: The primary outcome was to compare the overall mortality. Secondary outcomes included major complications, in-hospital length of stay (LOS), and need for surgical procedures.

Usage Notes

The readme file contains an explanation of the study design and each of the variables in the dataset, its measurement units, and the way it was calculated from the primary data.