title: The admission patterns of octogenerians nonagenerians and centenarians to the Department of Otoloaryngology.
abstract: Life expectancy in Israel has risen by almost 6 years during the last 25 years, and the proportion of people 65 years of age or older is expected to reach 12 % of the total population by 2020. A substantial increase in the workload for Otolaryngologists and Head and Neck surgeons is anticipated. Our goal was to characterize the admissions of patients 80 years of age and older to the Department of Otolaryngology, Head and Neck Surgery in a tertiary medical center. The study group included all patients 80 years of age and older who were admitted to the Department of OTOHNS in our institute between 2009 and 2013. There were two control groups for comparison divided by age; one group 40-59 years old and the other group 60-79 years old. There were 385 admissions of 317 patients aged 80-103 years (4.2 % of overall admissions). Over the study period, admissions of patients over 80 years increased on average by 3 % per annum (p = 0.4), and those patients over 90 years old by 52 % per annum (p < 0.001). The most common indication was HN malignancy (28.8 %) followed by otologic disorders (22.0 %). Of the overall 158 operations conducted, 131 patients (82.9 %) underwent elective procedures (mainly oncology) and 27 patients (17.1 %) underwent emergent procedures. The distribution of the reasons for admission of the patients older than 80 years is surprisingly different from that of the "younger" patients. With life expectancy rising, our study predicts a workload increase mainly in the HN oncologic and otologic services.
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. doron.sagiv@sheba.health.gov.il.
authors.forename: Doron
authors.initials: D
authors.lastname: Sagiv
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Lela
authors.initials: L
authors.lastname: Migirov
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.
authors.forename: Noga
authors.initials: N
authors.lastname: Lipschitz
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.
authors.forename: Elad
authors.initials: E
authors.lastname: Dagan
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.
authors.forename: Eran
authors.initials: E
authors.lastname: Glikson
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Michael
authors.initials: M
authors.lastname: Wolf
authors.affiliation: Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Eran E
authors.initials: EE
authors.lastname: Alon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000453:epidemiology* / Q000628:therapy; D006801:Humans; D007557:Israel / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010036:Otolaryngology; D010038:Otorhinolaryngologic Diseases / Q000453:epidemiology* / Q000628:therapy; D013517:Otorhinolaryngologic Surgical Procedures; D010343:Patient Admission; D016526:Workload
keywords: Aging; Centenarians; Geriatric ear nose and throat; Geriatric otolaryngology; Nonagenarians; Octogenarians