title: Outcomes of octogenarians and nonagenarians in elective major gynecologic surgery.
abstract: OBJECTIVE
  The purpose of this study was to determine whether age is a risk factor for perioperative and postoperative complications.
  
  
  METHODS
  This was a retrospective case-control study of 120 women over age 79 (group 1) compared with 1,497 younger patients 50-79 (group 2) undergoing major elective gynecologic surgery.
  
  
  RESULTS
  Mean length of stay was 4.8 days for group 1, compared with 3.8 for group 2 (P = .018). Patients hospitalized longer than 1 week was higher (P < .01) among group 1. There were statistically significant increases in UTI, psychiatric events, pulmonary edema, respiratory failure, sepsis, and hypovolemic shock. No significant difference in mortality rate was noted (group 1: 0.83%, n = 1 vs group 2: 0.47%, n = 7).
  
  
  CONCLUSIONS
  Although length of stay for the elderly is slightly increased, mortality and complication rates are comparable to younger patients with few exceptions. We conclude that age need not be the sole determinant in the decision to undergo major elective gynecologic surgery.
authors.affiliation: Department of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, USA. wayne_h_friedman@yahoo.com
authors.forename: Wayne H
authors.initials: WH
authors.lastname: Friedman
authors.forename: Donald G
authors.initials: DG
authors.lastname: Gallup
authors.forename: James J
authors.initials: JJ
authors.lastname: Burke
authors.forename: Edward A
authors.initials: EA
authors.lastname: Meister
authors.forename: William J
authors.initials: WJ
authors.lastname: Hoskins
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002481:Cellulitis / Q000453:epidemiology; D015897:Comorbidity; D017558:Elective Surgical Procedures; D005260:Female; D052776:Female Urogenital Diseases / Q000453:epidemiology / Q000601:surgery*; D005767:Gastrointestinal Diseases / Q000453:epidemiology; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D007902:Length of Stay; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D012769:Shock / Q000453:epidemiology; D013923:Thromboembolism / Q000453:epidemiology; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery; D014845:Vulvar Diseases / Q000601:surgery