Extra-abdominal CT imaging indicates increased severity of illness in advanced age patients requiring emergency abdominal surgery - 14/05/25
Abstract |
Background |
Abdominal sepsis frequently causes neurologic and pulmonary dysfunction among geriatric patients, We hypothesize that patients with abdominal sepsis who undergo extra-abdominal imaging have a greater burden of illness.
Methods |
Patients 65 years and older that underwent emergency abdominal surgery for sepsis were divided into those with abdominal only(AbdCT) versus abdominal and extra-abdominal(ExtraCT) imaging.
Results |
ExtraCT patients(N = 30) compared to AbdCT(N = 97) had higher rates of dementia(13.3 % versus 3.3 %; p = 0.03), diabetes(93.3 % versus 60.1 %; p < 0.01 and COPD(70 % versus 29.9 %; p < 0.01) but lower rates of abdominal pain as chief complaint (23.3 % versus 81.4 %; p < 0.01) and higher rates of being qSOFA positive (33.3 % vs 7.2 %; p < 0.05). Importantly, time to OR was not different between groups. ExtraCT patients had higher rates of 30-day mortality (33.3 % vs 5.2 %; p < 0.01). Extra-abdominal CT imaging was associated with increased risk of mortality (OR = 5.4; 95 %CI = 1.4–20.1).
Conclusions |
ExtraCT among geriatric patients with abdominal emergencies is a marker of severity of illness and should guide end-of-life decision making.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The need for extra-abdominal imaging in geriatric patients with abdominal sepsis denotes a higher burden of illness. |
Keywords : Sepsis, Extra-abdominal imaging, Advanced age patients, Intra-abdominal surgical emergencies
Plan
Vol 244
Article 116297- juin 2025 Retour au numéro
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