| Autor: |
Jordan N, Robinson, Joshua M K, Davis, Ryan C, Pickens, Allyson R, Cochran, Lacey, King, Patrick, Salibi, David A, Iannitti, John B, Martinie, Erin H, Baker, Lee M, Ocuin, Dionisios, Vrochides |
| Rok vydání: |
2021 |
| Zdroj: |
The American surgeon. |
| ISSN: |
1555-9823 |
| Popis: |
Advances in perioperative care have increased the frequency of surgical intervention performed on the very elderly (≥80 years). This study aims to investigate the impact of Enhanced Recovery After Surgery (ERAS) on outcomes for octogenarians after major hepatopancreatobiliary (HPB) surgery. Patients ≥80 years old in a single HPB ERAS program (September 2015-July 2018) were prospectively tracked in the ERAS Interactive Audit System (EIAS). Postoperative length of stay (LOS) as well as 30-day major complications, readmissions, and mortality were compared to a pre-ERAS octogenarian control. Since ERAS implementation, octogenarians comprised 7.3% (27 of 370) of patients who underwent pancreaticoduodenectomy (n=17), distal pancreatectomy (n=7), or hepatectomy (n=3). Thirty-day readmissions decreased after ERAS implementation (50% to 15%, P=.037). Thirty-day major complications, mortality, and LOS were similar with 64% median protocol compliance. ERAS for octogenarians in HPB surgery is safe and may contribute to more sustainable recovery resulting in reduced readmissions. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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