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

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_E7AFFEE5A172
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Enhanced recovery in elderly patients undergoing pancreatic resection: A retrospective monocentric study.
Journal
Medicine
Author(s)
Scarsi S., Martin D. (co-first), Halkic N., Demartines N., Roulin D.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
10/06/2022
Peer-reviewed
Oui
Volume
101
Number
23
Pages
e29494
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
Keywords
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
Yes
Create date
25/04/2021 13:53
Last modification date
25/02/2024 8:19
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