| Autor: |
E, Emiliani, A, Piccirilli, M, Cepeda-Delgado, A K, Kanashiro, D, Mantilla, C A, Amaya, F M, Sanchez-Martin, F, Millan-Rodriguez, A, Territo, J H, Amón-Sesmero, J, Palou-Redorta, O, Angerri-Feu |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
World journal of urology. 39(7) |
| ISSN: |
1433-8726 |
| Popis: |
To compare the safety and efficacy of RIRS in patients ≥ 80 years to a younger population.We retrospectively compared the data from patients ≥ 80 years of age undergoing RIRS with the data of a group of patients from 18 and 80 years. Perioperative outcomes, complications and emergency department visits were compared between two groups.A total of 173 patients were included in the study. Mean age was 44 (27-79) and 81 years-old (80-94), for younger and elderly group, respectively. Elderly patients had higher ASA scores (≥ 3) (28.6% vs 75.8%; p = 0.0001) and Charlson comorbidity index (1.99 vs 7.86; p = 0.0001), more diabetes (p = 0.006) and respiratory comorbidities (p = 0.002). No statistical difference was found between two groups in stone size (p = 0.614) and number (p = 0.152). Operative time (74.48 vs 102.96 min; p = 0.0001) and duration of hospitalisation (1.7 vs 2.9 days; p = 0.001) were longer for the elderly. Intraoperative complication rate did not show differences between the two groups (p = 0.166). Postoperative complications rates were similar between the cohorts (7.7% vs 9.5%; p = 0.682). The success rates were 67.5% in the younger group and 71.4% in the elderly group (p = 0.584). No difference was seen in stone recurrence (p = 0.73). A higher rate of visits to the emergency department was found in younger cohort (23.6% vs 11.6%; p = 0.046), mostly duo to stent-related symptoms.Despite the higher rate of comorbidity in the elderly group, RIRS was a safe procedure with similar complication rate and outcomes at an expense of higher operative time and hospital stay. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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