Fuentes VE

Language: Spanish
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ABSTRACT

Introduction: The increased number of elderly people will increase the number of thoracic surgical interventions in this group of patients.
Objective: To define the relationship between age, complications and mortality in elderly people surgically treated by thoracic interventions.
Methods: Observational, longitudinal and cohort study of 77 patients operated for thoracic lesions, between January 2012 and January 2015, and classified in two groups. Group A: patients aged 60-69 years (control group), and group B: patients aged 70 years and over (study group). The variables sex, comorbidity and outcome of the classifications according to ASA, ECOG and BMI were used to characterize both groups. The answer variables were complications and mortality.
Results: There were 44 (57.1%) patients in group A and 33 (42.9 %) in group B. There were no significant differences between age groups and sex (P=0.891), comorbidity (P=,0,7), neither on classifications according to ASA (P=0.364), ECOG (P=0.57), IMC (P=0.924). The complication incidence was 205 % (group A) and 23.3% (group B). Mortality was 6.8% (group A) and 9.1% (group B). Nevertheless, complications (p=0.368) and mortality (p=0.516) were not associated with age. Perioperative bleeding was associated with mortality (Fisher, p=0.029; RR: 913).
Conclusions: Complications and mortality were more frequent in group B. However, no statistic relation was shown with age, probably due to similar results of the variables for characterizing both groups.