FACTORS IMPACTING MORTALITY IN TURKISH OCTOGENARIAN AND NONAGENARIAN PATIENTS WHO UNDERWENT COLORECTAL SURGERY

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dc.authoridOcaklı, Serhat/0000-0002-3176-4914
dc.authoridEr, Sadettin/0000-0003-0712-3153
dc.authoridakın, tezcan/0000-0001-8786-6269
dc.authoridCeylan, Cengiz/0000-0003-3471-8726
dc.authoridCetinkaya, Erdinc/0000-0001-9249-1502
dc.authorwosidOcaklı, Serhat/IST-8062-2023
dc.authorwosidEr, Sadettin/HHS-3711-2022
dc.authorwosidakın, tezcan/JCE-4131-2023
dc.authorwosidCeylan, Cengiz/AAC-7461-2022
dc.authorwosidCetinkaya, Erdinc/K-3829-2016
dc.contributor.authorCeylan, Cengiz
dc.contributor.authorOcakli, Serhat
dc.contributor.authorAkinci, Felat
dc.contributor.authorCetinkaya, Erdinc
dc.contributor.authorAgackiran, Ibrahim
dc.contributor.authorAkin, Tezcan
dc.contributor.authorEr, Sadettin
dc.date.accessioned2024-08-04T20:58:51Z
dc.date.available2024-08-04T20:58:51Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground & objective: Due to their physiological conditions, the postoperative mortality rates of elderly patients are higher compared to other age groups, albeit the postoperative care and intensive care conditions are better than in the past. In this retrospective study, it was aimed to present a model to predict mortality and factors affecting mortality in this patient group who underwent colorectal surgery. Material & Methods: The population of octogenarian and nonagenarian patients who were operated for colorectal surgery in our clinic between 2020 and 2021 were included in the study. Patients' age, gender, albumin, lymphocyte, monocytes, lymphocyte-monocyte ratio (LMR), prognostic nutritional index (PNI), delta neutrophil index (DNI), Charlson comorbidity index (CCI), length of hospital stay, modified systemic inflammatory score (mSIS)) values, operation type (emergency/ elective), operation classification (minor/ moderate/ major/ complex major), anesthesia type (general/ epidural), and contamination status (clean/ clean-contaminated/ contaminated/ dirty or infected) were obtained from the hospital system. Results: Case status, operation type, contamination status, DNI, duration of hospitalization, mSIS variables were statistically significant in univariate regression analyses. However, in multivariate regression analyses, DNI of >= 0.05 (p< 0.015; OR 3.984, 95%CI 1.302-12.195) and contamination status (p< 0.038; OR 13,047, 95%Cl 1,150-148,087) were found to be independent risk factors affecting postoperative mortality. Conclusion: In the geriatric patient population undergoing colorectal surgery, DNI and contamination of the surgical field are two important factors affecting mortality. We think that the mortality estimation model created for this patient population will also help physicians for the postoperative period of the patients.en_US
dc.identifier.doi10.46327/msrjg.1.000000000000228
dc.identifier.issn2351-8200
dc.identifier.issue2en_US
dc.identifier.urihttps://doi.org/10.46327/msrjg.1.000000000000228
dc.identifier.urihttps://hdl.handle.net/11616/103200
dc.identifier.volume9en_US
dc.identifier.wosWOS:000992512300002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherMedical & Surgical Research Journals Groupen_US
dc.relation.ispartofJournal of Medical and Surgical Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColorectal Surgeryen_US
dc.subjectMortalityen_US
dc.subjectModelen_US
dc.subjectNonagenarianen_US
dc.subjectOctogenerianen_US
dc.titleFACTORS IMPACTING MORTALITY IN TURKISH OCTOGENARIAN AND NONAGENARIAN PATIENTS WHO UNDERWENT COLORECTAL SURGERYen_US
dc.typeArticleen_US

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