Abstract
Aim: We aim to assess the impact of age 90 years and above on mortality post emergency surgery. Methods: Data collected retrospectively between June 1999 and May 2007. Results: A total of 33 patients with age ranging between 90 and 96 (mean 92 years). Eleven (33%) patients died within 30 days of the operation, 8 (73%) had major and 3 (27%) had minor surgery. No mortality in ASA II but 50% and 33% mortality in ASA III and IV, respectively. In the surviving group (22; 67%), 14 (63%) had major and 8 (36%) minor procedures. The surviving group had a mean hospital stay of 44 days (range: 1-56 days). Sixteen patients (76%) were discharged home and 5 (24%) transferred to a community hospital. Conclusion: Surgery in the extreme elderly can be conducted successfully with discharge home and a good life expectancy. However, the period of rehabilitation is likely to be long and the ASA grading system is a good guide to predicting mortality.
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