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J R Soc Med 1989;82:391-393
© 1989 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 82, Issue 7 391-393, Copyright © 1989 by Royal Society of Medicine

ORIGINAL ARTICLES

Major abdominal surgery in the over-eighties

CA Palmer, H Reece-Smith and I Taylor
University Surgical Unit, Southampton General Hospital.

We report a prospective controlled trial looking at the outcome of major abdominal surgery judged on the ability of patients to return to their preoperative activity level. Eighty patients were included in the study. Forty of these were over 80 years old and the remainder in the age group 40-65 years. Fifty-four per cent of the over 80s demonstrated an increased level of dependance six months after surgery compared to 18% of the 40-65 year olds. The mortality rate at six months was 42% for the over 80 group. The poor prognosis of elderly surgical patients not only in their increased mortality rate but also in their dependency should be considered before they are subjected to major abdominal surgery.
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