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Urological hospitalization reasons and outcomes of octogenarians and nonagenarians: does age really matter?

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A Letter to the Editor to this article was published on 12 September 2023

Abstract

Purpose

Since some urological diseases are age-dependent, these patients are admitted to urology wards for treatment more frequently as an inevitable result of aging. In this study, the urological hospitalization reasons and outcomes patients in octogenarian and nonagenarian age groups were evaluated in comparison with younger adult patients.

Methods

After examining a total of 5615 urology ward admissions of individuals aged 18–99 years, we included 443 (7.7%) patients aged 80–89 years in the octogenarian group and 32 (0.6%) patients in the nonagenarian group. Ten percent of the remaining 5150 adults were randomly selected to form the control group.

Results

The mean ages of the control, octogenarian, and nonagenarian groups were 55.4 ± 16, 83.3 ± 2.6, and 91.9 ± 1.8 years, respectively. The most frequent reasons for the hospitalization were a history of or active bladder tumors in the octogenarian and nonagenarian groups [117 (38.5%) and 3 (21.4%), respectively]. The incidences of any complication in the control, octogenarian, and nonagenarian groups were 61 (12.2%), 63 (15.7%), and 12 (42.9%), respectively. Mortality was seen in five (1%) patients in the control group, 11 (2.5%) in the octogenarians, and five (15.6%) in the nonagenarians. The complication and mortality rates of the nonagenarian group were statistically significantly higher than the remaining two groups (p < 0.001).

Conclusion

Due to additional problems that increase with aging, the urology hospitalizations of octogenarian and nonagenarian patients result in more complications. Mortality rates also increase with age. It is aimed to contribute to the literature by revealing the needs and outcomes of octogenarian and nonagenarian patients in the urology clinic.

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Authors and Affiliations

  1. Department of Urology, Bursa Yuksek Ihtisas Training and Research Hospital, Yildirim, Bursa, Turkey

    Anil Erkan, Caglar Boyaci, Gokce Dundar & Metin Kilic

Authors
  1. Anil Erkan
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  2. Caglar Boyaci
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  3. Gokce Dundar
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  4. Metin Kilic
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Contributions

AE was involved in protocol/project development, data collection or management, data analysis, manuscript writing/editing; CB helped in data collection or management, data analysis; GD and MK contributed to manuscript writing/editing; others helped in supervision.

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Correspondence to Anil Erkan.

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Conflict of interest

The authors declare that there are no known conflicts of interest associated with this publication and no financial support was received for this work that could have influenced its outcome.

Ethical considerations

In order to conduct the study, approval was obtained from the Ethics Committee of Bursa Yuksek Ihtisas Training and Research Hospital, with the number 2011-KAEK-25 2022/01-25.

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Erkan, A., Boyaci, C., Dundar, G. et al. Urological hospitalization reasons and outcomes of octogenarians and nonagenarians: does age really matter?. World J Urol 41, 2243–2248 (2023). https://doi.org/10.1007/s00345-023-04470-4

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  • DOI: https://doi.org/10.1007/s00345-023-04470-4

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