Enhanced recovery in elderly patients undergoing pancreatic resection: A retrospective monocentric study.

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Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_E7AFFEE5A172
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Enhanced recovery in elderly patients undergoing pancreatic resection: A retrospective monocentric study.
Périodique
Medicine
Auteur⸱e⸱s
Scarsi S., Martin D. (co-premier), Halkic N., Demartines N., Roulin D.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Statut éditorial
Publié
Date de publication
10/06/2022
Peer-reviewed
Oui
Volume
101
Numéro
23
Pages
e29494
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Enhanced recovery after surgery (ERAS) pathway for pancreas has demonstrated its value in clinical practice. However, there is a lack of specific evidence about its application in elderly patients. The aim of the present study was to assess the impact of age on compliance and postoperative outcomes. Patients ≥70 years old that underwent pancreatic resection within an ERAS pathway between 2012 and 2018 were included, and divided into three groups: 70-74, 75-79, and ≥80 years old. Compliance with ERAS items, length of stay, mortality, and complications were analyzed. 114 patients were included: 49, 37, and 28 patients aged 70-74, 75-79, and ≥80 years, respectively. Overall compliance to ERAS items between groups was not different (66%, 66%, and 62%, P = .201). No significant difference was observed in terms of median length of stay (14, 17, and 17 days, P = .717), overall complications (67%, 78%, and 71%, P = .529), major complications (26%, 32%, and 39%, P = .507), or mortality (0%, 3%, and 4%, P = .448) with increasing age. Application of an ERAS pathway is feasible in elderly patients with pancreatic resection. Increasing age was neither associated with poorer compliance nor worse postoperative outcomes.
Mots-clé
Aged, Aged, 80 and over, Enhanced Recovery After Surgery, Humans, Length of Stay, Pancreatectomy/adverse effects, Postoperative Complications/epidemiology, Postoperative Complications/etiology, Postoperative Period, Retrospective Studies
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/04/2021 13:53
Dernière modification de la notice
25/02/2024 8:19
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