Enhanced recovery in elderly patients undergoing pancreatic resection: A retrospective monocentric study. Issue 23 (10th June 2022)

• Record Type: Journal Article
• Authors: Scarsi, Susanna; Martin, David; Halkic, Nermin; Demartines, Nicolas; Roulin, Didier
• Is Part Of: Medicine. Volume 101:Issue 23(2022)
• Page Start: e29494
• Publication Date: 2022-06-10
• Subjects: enhanced recovery -- elderly -- outcomes -- pancreas surgery; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000029494
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : 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.