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Elderly Patients Managed Non-Operatively with Abscesses of the Anorectal Region Have Five Times Higher Rate of Mortality Compared to Non-Elderly

Author

Listed:
  • Alexander Ladinsky

    (School of Medicine, New York Medical College, Valhalla, NY 10595, USA)

  • Abbas Smiley

    (School of Medicine, New York Medical College, Valhalla, NY 10595, USA
    Westchester Medical Center, Valhalla, NY 10595, USA)

  • Rifat Latifi

    (Department of Surgery, College of Medicine-Tucson, University of Arizona, Tucson, AZ 85721, USA)

Abstract

This study’s purpose was to investigate risk factors for mortality from anorectal abscesses through a more comprehensive examination. This was a retrospective study that evaluated National Inpatient Sample patient data of adult and elderly patients emergently admitted with a primary diagnosis of anorectal abscess. Data was stratified by variables of interest and examined through statistical analysis, including backward logistic regression modelling. Roughly 40,000 adult patients and nearly 7000 elderly patients were admitted emergently with a primary diagnosis of abscess in anorectal regions. The mean age of adult male patients was 43 years while elderly male patients were, on average, 73 years old. Both adult males (69.0%) and elderly males (63.9%) were more frequently seen in the hospital for anorectal abscess compared to females. Mortality rates were lower in adult patients as only 0.2% (n = 62) of adult patients and 1.0% (n = 73) of elderly patients died in the hospital. Age increased the odds of mortality (OR = 1.03; 95% CI: 1.02–1.04, p < 0.001) as did hospital length of stay (OR = 1.02; 95% CI: 1.01–1.03, p < 0.001). Surgical procedure decreased the odds of mortality by more than 50% (OR = 0.49; 95% CI: 0.33–0.71, p < 0.001). Risk factors for mortality from anorectal abscess included age and non-operative management, which leads to prolonged hospital length of stay. Surgical management of anorectal abscesses offered protective benefits.

Suggested Citation

  • Alexander Ladinsky & Abbas Smiley & Rifat Latifi, 2023. "Elderly Patients Managed Non-Operatively with Abscesses of the Anorectal Region Have Five Times Higher Rate of Mortality Compared to Non-Elderly," IJERPH, MDPI, vol. 20(7), pages 1-19, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5387-:d:1115550
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    References listed on IDEAS

    as
    1. Lior Levy & Abbas Smiley & Rifat Latifi, 2022. "Adult and Elderly Risk Factors of Mortality in 23,614 Emergently Admitted Patients with Rectal or Rectosigmoid Junction Malignancy," IJERPH, MDPI, vol. 19(15), pages 1-18, July.
    2. Lior Levy & Abbas Smiley & Rifat Latifi, 2022. "Mortality Risk Factors in Patients Admitted with the Primary Diagnosis of Tracheostomy Complications: An Analysis of 8026 Patients," IJERPH, MDPI, vol. 19(15), pages 1-14, July.
    3. Guy Elgar & Abbas Smiley & Rifat Latifi, 2022. "Major Risk Factors for Mortality in Elderly and Non-Elderly Adult Patients Emergently Admitted for Blunt Chest Wall Trauma: Hospital Length of Stay as an Independent Predictor," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    4. Guy Elgar & Parsa Smiley & Abbas Smiley & Cailan Feingold & Rifat Latifi, 2022. "Age Increases the Risk of Mortality by Four-Fold in Patients with Emergent Paralytic Ileus: Hospital Length of Stay, Sex, Frailty, and Time to Operation as Other Risk Factors," IJERPH, MDPI, vol. 19(16), pages 1-22, August.
    5. Saral Patel & Abbas Smiley & Cailan Feingold & Bardia Khandehroo & Agon Kajmolli & Rifat Latifi, 2022. "Chances of Mortality Are 3.5-Times Greater in Elderly Patients with Umbilical Hernia Than in Adult Patients: An Analysis of 21,242 Patients," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
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