Purpose@#Because the global geriatric
population continues to increase, the assessment of
emergency surgical outcomes in
elderly patients with acute
peritonitis will become more important. @*
Methods @#A retrospective
review was conducted on the data of 174
elderly patients who underwent
emergency surgery for
intestinal perforation or intestinal
infarction between June 2010 and November 2022. We conducted an
analysis of the
risk factors associated with
postoperative complications and
mortality by evaluating the characteristics of
patients and their surgical outcomes. @*Results@#In our study, most
patients (94.3%) had preexisting comorbidities, and many
patients (84.5%) required transfer to the
intensive care unit following
emergency surgery .
Postoperative complications were observed in 84 individuals (48.3%), with postoperative
mortality occurring in 29 (16.7%).
Multivariate analysis revealed preoperative
acute renal injury ,
hypoalbuminemia , and postoperative
ventilator support as significant predictors of postoperative
mortality . @*Conclusion@#When
elderly patients undergo
emergency surgery for
intestinal perforation or
infarction , it is important to recognize that those with preoperative
acute renal injury ,
hypoalbuminemia , and a need for postoperative
ventilator support have a poor
prognosis . Therefore, these
patients require
intensive care from the early stages of
treatment .