Enhanced recovery in elderly patients undergoing pancreatic resection: A retrospective monocentric study.
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10 juin 2022
- doi: 10.1097/MD.0000000000029494
- issn: 0025-7974
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info:eu-repo/semantics/altIdentifier/doi/10.1097/MD.0000000000029494
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info:eu-repo/semantics/altIdentifier/pmid/35687782
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info:eu-repo/semantics/altIdentifier/eissn/1536-5964
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_E7AFFEE5A1722
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S. Scarsi et al., « Enhanced recovery in elderly patients undergoing pancreatic resection: A retrospective monocentric study. », Serveur académique Lausannois, ID : 10.1097/MD.0000000000029494
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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.
