Perioperative medicine & outcomes

Surgery in patients aged ≥ 80 years: mortality and recovery in a nationwide cohort study*

AnaesthesiaPublished Nationwide cohort study

Authors' conclusion

Older adults, especially those aged ≥ 90 y, experience high mortality and significant challenges in postoperative recovery after acute surgeries. Elective surgeries are associated with lower short-term mortality

Study context

Population
Patients aged ≥ 80 y undergoing surgery in Sweden, January 2019 to March 2023 (Swedish Perioperative Register)
Participants
118,359 patients
Exposure
Elective vs acute surgery; age categories
  • Electiven = 54,320reference
  • Acuten = 64,039
Outcome
All-cause mortality
Follow-up
30 days
Methodological detailsregistry-based
  • Registry-based

Main finding

As reported in the abstract

30-day mortality

Observational data: associations, not effects.

Secondary outcomes

Mortality by age (subgroup)

Mortality increased significantly with age, particularly ≥ 90 y vs 80-84 y

DAH at 30 and 90 days

Significantly lower for acute surgery patients

Original publication

Surgery in patients aged ≥ 80 years: mortality and recovery in a nationwide cohort study*. Anaesthesia. Published 12 March 2025. doi:10.1111/anae.16580

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