Skip to main content
SpringerLink
Log in

The admission patterns of octogenerians nonagenerians and centenarians to the Department of Otoloaryngology

  • Miscellaneous
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Central Bureau of Statistics of Israel. Statistical Abstract of Israel 2014. Deaths and Life Expectancy. Table 3.24, Life expectancy by Sex, Religion and Population Group. http://www.cbs.gov.il/shnaton65/st03_24.pdf. Accessed 28 June 2016

  2. Klotch DW (1982) Otolaryngology in the geriatric patient. Prim Care 9:167–172

    CAS  PubMed  Google Scholar 

  3. Goldstein JC (2007) The American Society of Geriatric Otolaryngology. Ear Nose Throat J 86:718–719

    PubMed  Google Scholar 

  4. Bhattacharyya N (2011) The increasing workload in head and neck surgery: an epidemiologic analysis. Laryngoscope 121:111–115

    Article  PubMed  Google Scholar 

  5. Lin HW, Bhattacharyya N (2011) Otologic diagnoses in the elderly: current utilization and predicted workload increase. Laryngoscope 121:1504–1507

    Article  PubMed  Google Scholar 

  6. Dagan E, Wolf M, Migirov L (2012) Why do geriatric patients attend otolaryngology emergency rooms? Isr Med Assoc J 14:633–666

    PubMed  Google Scholar 

  7. Creighton FX Jr, Poliashenko SM, Statham MM, Abramson P, Johns MM 3rd (2013) The growing geriatric otolaryngology patient population: a study of 131,700 new patient encounters. Laryngoscope 123:97–102

    Article  PubMed  Google Scholar 

  8. Melzer D, Tavakoly B, Winder RE, Masoli JAH, Henley WE, Ble A, Richards SH (2015) Much more medicine for the oldest old: trends in UK electronic clinical records. Age Ageing 44:46–53

    Article  PubMed  Google Scholar 

  9. Strømgaard S, Rasmussen SW, Schmidt TA (2014) Brief hospitalizations of elderly patients: a retrospective, observational study. Scand J Trauma Resusc Emerg Med 22:17

    Article  PubMed  PubMed Central  Google Scholar 

  10. Silveira RE, Santos Ada S, Sousa MC, Monteiro TS (2013) Expenses related to hospital admissions for the elderly in Brazil: perspectives of a decade. Einstein (Sao Paulo) 11:514–520

  11. Weißenborn I, Ritter J, Geißler K, Guntinas-Lichius O (2016) Comparison of old (75–79 years) to very old (80+ years) hospitalized otorhinolaryngology patients. Eur Arch Otorhinolaryngol (Epub ahead of print)

  12. Purkey MR, Seeskin Z, Chandra R (2014) Seasonal variation and predictors of epistaxis. Laryngoscope 124:2028–2033

    Article  PubMed  Google Scholar 

  13. Magnuson A, Dale W, Mohile S (2014) Models of care in geriatric oncology. Curr Geriatr Rep 3:182–189

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Partridge JS, Harari D, Dhesi JK (2012) Frailty in the older surgical patient: a review. Age Ageing 41:142–147

    Article  PubMed  Google Scholar 

  15. Camilon PR, Stokes WA, Nguyen SA, Lentsch EJ (2014) Are the elderly with oropharyngeal carcinoma undertreated? Laryngoscope 124:2057–2063

    Article  PubMed  Google Scholar 

  16. Gourin CG, Dy SM, Herbert RJ, Blackford AL, Quon H, Forastiere, Eisele DW, Frick KD (2014) Treatment, survival, and costs of laryngeal cancer care in the elderly. Laryngoscope 124:1827–1835

    Article  PubMed  Google Scholar 

  17. Hatcher JL, Bell EB, Browne JD, Waltonen JD (2013) Disposition of elderly patients after head and neck reconstruction. JAMA Otolaryngol Head Neck Surg 139:1236–1241

    Article  PubMed  Google Scholar 

  18. Schwartz N, Shpitzer T, Feinmesser R, Robenshtok E, Bachar G (2013) Thyroid surgery in the elderly. Gerontology 59:401–407

    CAS  PubMed  Google Scholar 

  19. Drendel M, Primov-Fever A, Talmi YP, Roziner I, Wolf M, Migirov L (2009) Outcome of tracheostomy in patients over 85 years old (oldest-old patients). Otolaryngol Head Neck Surg 140:395–397

    Article  PubMed  Google Scholar 

  20. Colclasure JC, Gross CW, Kountakis SE (2004) Endoscopic sinus surgery in patients older than sixty. Otolaryngol Head Neck Surg 131:946–949

    Article  PubMed  Google Scholar 

  21. Clark JH, Yeagle J, Arbaje AI, Lin FR, Niparko JK, Francis HW (2012) Cochlear implant rehabilitation in older adults: literature review and proposal of a conceptual framework. J Am Geriatr Soc 60:1936–1945

    Article  PubMed  PubMed Central  Google Scholar 

  22. Marino JP, Johns MM (2014) The epidemiology of dysphonia in the aging population. Curr Opin Otolaryngol Head Neck Surg 22:455–459

    Article  PubMed  Google Scholar 

  23. Migirov L, Taitelbaum-Swead R, Drendel M, Hildesheimer M, Kronenberg J (2010) Cochlear implantation in elderly patients: surgical and audiological outcome. Gerontology 56(2):123–128

    Article  PubMed  Google Scholar 

  24. Genther DJ, Betz J, Pratt S, Kritchevski SB, Martin KR, Harris TB, Helzner E et al (2015) Association of hearing impairment and mortality in older adults. J Gerontol A Biol Sci Med Sci 70:85–90

    Article  PubMed  Google Scholar 

  25. Choi JS, Contrera KJ, Betz JF, Blake CR, Niparko JK, Lin FR (2014) Long-term use of cochlear implants in older adults: results from a large consecutive case series. Otol Neurotol 35:815–820

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology and Head & Neck Surgery, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel

    Doron Sagiv, Lela Migirov, Noga Lipschitz, Elad Dagan, Eran Glikson, Michael Wolf & Eran E. Alon

  2. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Lela Migirov, Michael Wolf & Eran E. Alon

Authors
  1. Doron Sagiv
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lela Migirov
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Noga Lipschitz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Elad Dagan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eran Glikson
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Michael Wolf
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Eran E. Alon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Doron Sagiv.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Funding

None.

The study was approved by the institutional ethics committee.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sagiv, D., Migirov, L., Lipschitz, N. et al. The admission patterns of octogenerians nonagenerians and centenarians to the Department of Otoloaryngology. Eur Arch Otorhinolaryngol 273, 4615–4621 (2016). https://doi.org/10.1007/s00405-016-4165-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-016-4165-4

Keywords

Search

Navigation