0000000001024221

AUTHOR

E. Zanoni

showing 3 related works from this author

Frailty and emergency surgery in the elderly: protocol of a prospective, multicenter study in Italy for evaluating perioperative outcome (The FRAILES…

2018

Improvements in living conditions and progress in medical management have resulted in better quality of life and longer life expectancy. Therefore, the number of older people undergoing surgery is increasing. Frailty is often described as a syndrome in aged patients where there is augmented vulnerability due to progressive loss of functional reserves. Studies suggest that frailty predisposes elderly to worsening outcome after surgery. Since emergency surgery is associated with higher mortality rates, it is paramount to have an accurate stratification of surgical risk in such patients. The aim of our study is to characterize the clinicopathological findings, management, and short-term outcom…

Elderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores; Aged; Aged 80 and over; Clinical Protocols; Emergencies; Female; Frailty; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Outcome Assessment Health Care; Postoperative Complications; Prognosis; Prospective Studies; ROC Curve; Risk Assessment; Frail ElderlyMaleOutcome Assessment030230 surgerylaw.invention0302 clinical medicinePostoperative ComplicationsQuality of lifeClinical ProtocolslawOutcome Assessment Health Care80 and overProspective StudiesProspective cohort studyMultivariate AnalysiAged 80 and overEmergencieFrailtyMortality rateScoreScoresPrognosisIntensive care unitElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores; Aged; Aged 80 and over; Clinical Protocols; Emergencies; Female; Frailty; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Outcome Assessment (Health Care); Postoperative Complications; Prognosis; Prospective Studies; ROC Curve; Risk Assessment; Frail ElderlyItaly030220 oncology & carcinogenesiselderly patient emergency surgery frailty geriatric risk assessment scoresEmergency surgeryFemaleRisk assessmentElderly patientHumanmedicine.medical_specialtyElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores;Logistic ModelPrognosiFrail ElderlyRisk AssessmentNO03 medical and health sciencesOutcome Assessment (Health Care)medicineHumansClinical ProtocolAgedbusiness.industryPerioperativeElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; ScoresSurgeryHealth CareProspective StudieSettore MED/18 - Chirurgia GeneraleLogistic ModelsROC CurveEmergency medicineMultivariate AnalysisLife expectancyObservational studySurgeryPostoperative ComplicationEmergenciesbusinessGeriatric
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The use of emergency laparoscopy for acute abdomen in the elderly: the FRAILESEL Italian Multicenter Prospective Cohort Study

2020

As the world population is aging rapidly, emergency abdominal surgery for acute abdomen in the elderly represents a global issue, both in developed and developing countries. Data regarding all the elderly patients who underwent emergency abdominal surgery from January 2017 to December 2017 at 36 Italian surgical departments were analyzed with the aim to appraise the contemporary reality regarding the use of emergency laparoscopy for acute abdomen in the elderly. 1993 patients were enrolled. 1369 (68.7%) patients were operated with an open technique; whereas, 624 (31.3%) underwent a laparoscopic operation. The postoperative morbidity rate was 32.6%, with a statically significant difference b…

MaleSettore MED/18 - CHIRURGIA GENERALEEndoscopy GastrointestinalCohort Studies0302 clinical medicinePostoperative ComplicationsElderlyAbdomen80 and overMedicineProspective StudiesProspective cohort studyLaparoscopyAbdomen AcuteAged 80 and overmedicine.diagnostic_testMortality rateAge FactorsPrognosisMulticenter studyItalyAcute abdomen030220 oncology & carcinogenesisEmergency surgery030211 gastroenterology & hepatologyFemalemedicine.symptomCohort studyRiskGastrointestinalmedicine.medical_specialtyAcuteMalignancyNOAcute abdomen03 medical and health sciencesEmergency surgeryHumansAgedbusiness.industryacute abdomen; elderly; emergency surgery; laparoscopy; multicenter studyEndoscopymedicine.diseaseSurgerySurgeryLaparoscopyEmergenciesMorbiditybusinessProcedures and Techniques UtilizationAbdominal surgery
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Risk factors for postoperative morbidity following appendectomy in the elderly: a nationwide prospective cohort study

2019

Background: A limited number of studies investigating perioperative risk factors associated with emergency appendectomy in elderly patients have been published to date. Whether older age may be associated with poorer outcomes following appendectomy is still a matter of debate. The primary aim of this study was to determine the predictors of postoperative morbidity following appendectomy in patients aged ≥ 65 years. Methods: Data regarding all elderly patients who underwent emergency appendectomy from January 2017 to June 2018 admitted 36 Italian surgical departments were prospectively collected and analyzed. Baseline demographics and perioperative variables were evaluated. Uni- and multivar…

medicine.medical_specialtyMultivariate analysisSports medicineSettore MED/18 - CHIRURGIA GENERALECritical Care and Intensive Care MedicineAcute appendicitis; Appendectomy; Elderly; Frail patients; Postoperative complicationsNOPostoperative complications03 medical and health scienceschemistry.chemical_compoundElderly0302 clinical medicineRisk FactorsAcute appendicitis Appendectomy Elderly Frail patients Postoperative complicationsInternal medicinemedicineHumansAppendectomyFrail patientOrthopedics and Sports MedicineIn patientProspective StudiesProspective cohort studyAgedRetrospective StudiesAcute appendicitis030222 orthopedicsCreatininebusiness.industryPostoperative complication030208 emergency & critical care medicinePerioperativeLength of StayAppendicitisPostoperative complicationchemistryEmergency MedicineLaparoscopySurgeryAcute appendicitiMorbidityRisk assessmentbusinessFrail patientsEuropean Journal of Trauma and Emergency Surgery
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