Features of examination and treatment in a multidisciplinary geriatric institution for centenarians with acute cholecystitis.

The effectiveness of medical care for people over the age of 60 differs significantly from that among younger cohorts of the population in all countries and on all continents of the world. This is important in the examination of centenarians with acute surgical diseases of the abdominal cavity, taking into account the ambiguity of the data provided by many specialists on patients with so-called acute abdomen for practical surgical activity. Information about the results of medical care for centenarians with acute cholecystitis is particularly interesting. To evaluate the results of the examination and treatment of centenarians hospitalizefor acute cholecystitis in multidisciplinary medical organizations where geriatric care is licensed. Results of the examination and treatment of 79 patients of the St. Petersburg State Medical University "War Veterans Hospital" in 2015–2022 for acute cholecystitis are presented. All patients are long–lived, their age exceeded 90 years. Information about each patient was stereotypically entered into a data base (Xl-format) under certain headings reflecting typical algorithms of clinical activity. The digital parameters of each of the headings were subjected to a targeted statistical analysis, taking into account generally recognized criteria for evaluating the results and   quality of medical care provided to patients with acute cholecystitis. When analyzing the examination features and treatment results of patients of the so-called age cohort of the population, it was found that acute cholecystitis is not a rare pathology observed in centenarians; cases of calculous forms of the disease prevail in patients of older age groups; diagnosis of acute cholecystitis in centenarians is characterized by certain difficulties; performing operations due to acute cholecystitis in patients over 90 years of age is associated with significant the risk of postoperative complications, which, in turn, leads to high mortality rates. Centenarians with acute cholecystitis make up a special group of patients for whom it is advisable to provide medical care in multidisciplinary medical organizations, specialists who have the necessary competencies in gerontology and geriatrics.

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