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Filename: controllers/Detail.php
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Function: _error_handler
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Function: insertAPISummary
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Filename: controllers/Detail.php
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Introduction: Life expectancies in the UK are increasing and with this there is an increasing elderly population with more complex co-morbidity. Emergency surgery in the elderly is challenging in terms of decision making, managing co-morbidity and post-operative rehabilitation with high morbidity and mortality. To optimise service design and development, it is important to understand the changing pattern of emergency surgical care for this group.
Methods: After obtaining necessary approvals, we approached each hospital trust in the North of England for details of every emergency admission under a general surgeon from 2000 to 2014. Data for each admission included demographics, co-morbidities, diagnoses, procedures undertaken and outcomes.
Results: There were 105 002 elderly (≥70 years) emergency general surgical admissions, and mean age and co-morbidity (defined by Charlson index scores) increased (both p < 0.001). Operative intervention was undertaken in a similar proportion of patients in all age groups (13%), with more patients undergoing operations over time (p < 0.001), of which 50% were within 48 h of admission. Overall in-hospital mortality decreased significantly as did length of hospital stay (both p < 0.001). Factors associated with increased 30 day in-hospital mortality were increasing age and Charlson score, admissions directly from clinic, operations undertaken at the weekend and patients admitted earlier in the study period.
Conclusion: The workload of emergency general surgery in the elderly is becoming more complex. This challenge is already being addressed with improvements in outcomes. The data presented here reinforces the need for new models of care with increased multidisciplinary geriatric care input into elderly surgical patient care in the perioperative period.
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http://dx.doi.org/10.1016/j.ijsu.2016.02.044 | DOI Listing |
Anesth Analg
December 2024
From the Department of Anaesthesiology, University of Pretoria, Pretoria, Gauteng, South Africa.
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View Article and Find Full Text PDFJ Med Internet Res
December 2024
College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar.
Background: Wearable technologies have become increasingly prominent in health care. However, intricate machine learning and deep learning algorithms often lead to the development of "black box" models, which lack transparency and comprehensibility for medical professionals and end users. In this context, the integration of explainable artificial intelligence (XAI) has emerged as a crucial solution.
View Article and Find Full Text PDFAbstractLarge-scale temporal and spatial biodiversity patterns have traditionally been explained by multitudinous particular factors and a few theories. However, these theories lack sufficient generality and do not address fundamental interrelationships and coupled dynamics among resource availability, community abundance, and species richness. We propose the equilibrium theory of biodiversity dynamics (ETBD) to address these linkages.
View Article and Find Full Text PDFJ Nephrol
December 2024
Division of Nephrology, Cantonal Hospital Aarau, Aarau, Switzerland.
Eur J Orthop Surg Traumatol
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Saint Paul hospital Millenium Medical College, Addis Ababa, Ethiopia.
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