{"id":"https://openalex.org/W4386141015","doi":"https://doi.org/10.7759/cureus.44031","title":"Analysis of Variables Influencing Short-Term Complications in Geriatric Patients Undergoing Emergency General Surgery (EGS): A Retrospective Cohort Study","display_name":"Analysis of Variables Influencing Short-Term Complications in Geriatric Patients Undergoing Emergency General Surgery (EGS): A Retrospective Cohort Study","publication_year":2023,"publication_date":"2023-08-24","ids":{"openalex":"https://openalex.org/W4386141015","doi":"https://doi.org/10.7759/cureus.44031","pmid":"https://pubmed.ncbi.nlm.nih.gov/37746435","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10517432"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.44031","doi":"https://doi.org/10.7759/cureus.44031","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.44031","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/178364/20230825-3189-11o9xqv.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://assets.cureus.com/uploads/original_article/pdf/178364/20230825-3189-11o9xqv.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5081857271","display_name":"Abubaker Elamin","orcid":"https://orcid.org/0000-0003-3573-3207","observed_orcids":["https://orcid.org/0000-0003-3573-3207"]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]},{"id":"https://openalex.org/I1339471597","display_name":"Humanitas University","ror":"https://ror.org/020dggs04","country_code":"IT","type":"education","lineage":["https://openalex.org/I1339471597"]}],"countries":["GB","IT"],"is_corresponding":true,"raw_author_name":"Abubaker Elamin","raw_affiliation_strings":["General Surgery, Humanitas University, Milan, ITA","Otolaryngology, Nottingham University Hospitals, Nottingham, GBR",". Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR",". Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, Humanitas University, Milan, ITA","institution_ids":["https://openalex.org/I1339471597"]},{"raw_affiliation_string":"Otolaryngology, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]},{"raw_affiliation_string":". Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]},{"raw_affiliation_string":". Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016217898","display_name":"Laith Sinan","orcid":"https://orcid.org/0000-0002-1303-3552","observed_orcids":["https://orcid.org/0000-0002-1303-3552"]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]},{"id":"https://openalex.org/I1339471597","display_name":"Humanitas University","ror":"https://ror.org/020dggs04","country_code":"IT","type":"education","lineage":["https://openalex.org/I1339471597"]}],"countries":["GB","IT"],"is_corresponding":false,"raw_author_name":"Laith Sinan","raw_affiliation_strings":["Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR",". General Surgery, Humanitas University, Milan, ITA",". Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR",". Otolaryngology, Nottingham University Hospitals, Nottingham, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]},{"raw_affiliation_string":". General Surgery, Humanitas University, Milan, ITA","institution_ids":["https://openalex.org/I1339471597"]},{"raw_affiliation_string":". Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR","institution_ids":[]},{"raw_affiliation_string":". Otolaryngology, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066272851","display_name":"Seyedh Paniz Hashemi Tari","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]},{"id":"https://openalex.org/I1339471597","display_name":"Humanitas University","ror":"https://ror.org/020dggs04","country_code":"IT","type":"education","lineage":["https://openalex.org/I1339471597"]}],"countries":["GB","IT"],"is_corresponding":false,"raw_author_name":"Seyedh Paniz H Tari","raw_affiliation_strings":["General Surgery, Humanitas University, Milan, ITA",". Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR",". Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR",". Otolaryngology, Nottingham University Hospitals, Nottingham, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, Humanitas University, Milan, ITA","institution_ids":["https://openalex.org/I1339471597"]},{"raw_affiliation_string":". Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]},{"raw_affiliation_string":". Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR","institution_ids":[]},{"raw_affiliation_string":". Otolaryngology, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058133670","display_name":"Bilal Ahmad","orcid":"https://orcid.org/0009-0005-8911-0955","observed_orcids":["https://orcid.org/0009-0005-8911-0955"]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]},{"id":"https://openalex.org/I1339471597","display_name":"Humanitas University","ror":"https://ror.org/020dggs04","country_code":"IT","type":"education","lineage":["https://openalex.org/I1339471597"]}],"countries":["GB","IT"],"is_corresponding":false,"raw_author_name":"Bilal I Ahmad","raw_affiliation_strings":["Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR",". General Surgery, Humanitas University, Milan, ITA",". Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR",". Otolaryngology, Nottingham University Hospitals, Nottingham, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedic Surgery, United Lincolnshire Hospitals, Lincoln, GBR","institution_ids":[]},{"raw_affiliation_string":". General Surgery, Humanitas University, Milan, ITA","institution_ids":["https://openalex.org/I1339471597"]},{"raw_affiliation_string":". Orthopaedic Surgery, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]},{"raw_affiliation_string":". Otolaryngology, Nottingham University Hospitals, Nottingham, GBR","institution_ids":["https://openalex.org/I1334287468"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5081857271"],"corresponding_institution_ids":["https://openalex.org/I1334287468","https://openalex.org/I1339471597"],"apc_list":null,"apc_paid":null,"fwci":0.1763,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.45151593,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"15","issue":"8","first_page":"e44031","last_page":"e44031"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.8560000061988831,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.8560000061988831,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":0.0478999987244606,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11700","display_name":"Hemodynamic Monitoring and Therapy","score":0.01860000006854534,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-general-surgery","display_name":"emergency general surgery","score":0.996999979019165},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.9269999861717224},{"id":"https://openalex.org/keywords/blood-transfusion","display_name":"blood transfusion","score":0.8560000061988831},{"id":"https://openalex.org/keywords/vasopressor-use","display_name":"vasopressor use","score":0.9259999990463257},{"id":"https://openalex.org/keywords/geriatric-surgery","display_name":"geriatric surgery","score":0.4350000023841858},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.6660000085830688},{"id":"https://openalex.org/keywords/perioperative-care","display_name":"perioperative care","score":0.675000011920929}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9781093001365662},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6758454442024231},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6561252474784851},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6104606986045837},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5406945943832397},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.5145906209945679},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.45883578062057495},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.45743778347969055},{"id":"https://openalex.org/C144301174","wikidata":"https://www.wikidata.org/wiki/Q7893852","display_name":"Univariate analysis","level":3,"score":0.4140920341014862},{"id":"https://openalex.org/C2777010666","wikidata":"https://www.wikidata.org/wiki/Q1498222","display_name":"Vascular surgery","level":3,"score":0.4110390543937683},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.3684256672859192},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.24661344289779663},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.19266259670257568}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.44031","doi":"https://doi.org/10.7759/cureus.44031","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.44031","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/178364/20230825-3189-11o9xqv.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10517432","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10517432","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10517432/pdf/cureus-0015-00000044031.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:37746435","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37746435","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.44031","doi":"https://doi.org/10.7759/cureus.44031","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.44031","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/178364/20230825-3189-11o9xqv.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4386141015.pdf","grobid_xml":"https://content.openalex.org/works/W4386141015.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W139553421","https://openalex.org/W1579077552","https://openalex.org/W1974485523","https://openalex.org/W2011100650","https://openalex.org/W2139269547","https://openalex.org/W2159433840","https://openalex.org/W2170655523","https://openalex.org/W2220490565","https://openalex.org/W2323936761","https://openalex.org/W2331203188","https://openalex.org/W2910942763","https://openalex.org/W2950565208","https://openalex.org/W4206379296"],"related_works":["https://openalex.org/W2791469305","https://openalex.org/W2901630891","https://openalex.org/W3023435006","https://openalex.org/W4414997798","https://openalex.org/W4399790795","https://openalex.org/W2168629290","https://openalex.org/W4321602076","https://openalex.org/W7125682976","https://openalex.org/W7000809432","https://openalex.org/W4309407919"],"abstract_inverted_index":{"BACKGROUND:":[0],"Emergency":[1],"general":[2],"surgery":[3,76],"(EGS)":[4],"encompasses":[5],"a":[6,138,151],"wide":[7],"range":[8],"of":[9,51,65,155,162,175,187,201,208,220],"acute":[10],"surgical":[11],"conditions":[12],"that":[13,25],"pose":[14],"significant":[15,140],"risks":[16],"to":[17,27,47,117,216,227,236],"patient":[18,39,242],"life":[19],"and":[20,70,79,108,112,124,134,205,231],"well-being.":[21],"Understanding":[22],"the":[23,49,84,119,129,173,199,218],"factors":[24,230],"contribute":[26],"short-term":[28,55,125,143,182,221],"complications":[29,56],"in":[30,57,83,211,239],"geriatric":[31,58,212],"patients":[32,59,67,213],"undergoing":[33,60,214],"EGS":[34,215],"is":[35,225],"crucial":[36],"for":[37],"improving":[38],"outcomes.":[40],"This":[41],"retrospective":[42],"single-center":[43],"cohort":[44],"study":[45],"aimed":[46],"evaluate":[48],"impact":[50],"various":[52],"variables":[53,123],"on":[54,89],"EGS.":[61],"METHODS:":[62],"A":[63],"total":[64],"212":[66],"aged":[68],"65":[69],"above":[71],"who":[72,146],"underwent":[73],"emergency":[74],"abdominal":[75],"between":[77,121],"2017":[78],"2018":[80],"were":[81,115],"included":[82],"study.":[85],"The":[86],"analysis":[87],"focused":[88],"several":[90],"variables,":[91,131],"including":[92],"age,":[93],"sex,":[94],"body":[95],"mass":[96],"index":[97],"(BMI),":[98],"beta-blocker":[99],"use,":[100],"open":[101],"abdomen":[102],"treatment,":[103],"blood":[104,132,148,203],"transfusions,":[105],"anticoagulant":[106],"therapy,":[107],"vasopressor":[109,135,209],"use.":[110],"Univariate":[111],"multivariate":[113],"analyses":[114],"conducted":[116],"assess":[118],"association":[120,141],"these":[122],"complications.":[126,144,222],"RESULTS:":[127],"Among":[128],"analyzed":[130],"transfusions":[133,149,204],"use":[136,174,210],"demonstrated":[137],"statistically":[139],"with":[142,157,180,184],"Patients":[145],"received":[147],"had":[150],"significantly":[152],"higher":[153],"risk":[154,219],"complications,":[156,183],"an":[158,185],"odds":[159],"ratio":[160],"(OR)":[161],"3.01":[163],"(95%":[164,189],"confidence":[165],"interval,":[166],"CI:":[167,190],"1.28-7.06,":[168],"p-value":[169,192],"=":[170],"0.011).":[171],"Similarly,":[172],"vasopressors":[176],"was":[177],"strongly":[178],"correlated":[179],"increased":[181],"OR":[186],"14.61":[188],"4.86-43.89,":[191],"<":[193],"0.001).":[194],"CONCLUSION:":[195],"These":[196],"findings":[197],"emphasize":[198],"importance":[200],"minimizing":[202],"careful":[206],"consideration":[207],"reduce":[217],"Further":[223],"research":[224],"warranted":[226],"explore":[228],"additional":[229],"optimize":[232],"perioperative":[233],"management":[234],"strategies":[235],"improve":[237],"outcomes":[238],"this":[240],"vulnerable":[241],"population.":[243]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2023-08-25T00:00:00"}