Abstract
| Original language | English |
|---|---|
| Journal | Updates in Surgery |
| Publication status | Published - Jun 1 2017 |
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Keywords
- Colorectal surgery, Elderly, Enhanced recovery after surgery, Length of stay, Postoperative morbidity
Cite this
Enhanced recovery pathway in elderly patients undergoing colorectal surgery: is there an effect of increasing ages? Results from the perioperative Italian Society Registry. / Braga, Marco; Beretta, Luigi; Pecorelli, Nicolo; Maspero, Marianna; Casiraghi, Umberto; Borghi, Felice; Pellegrino, Luca; Bona, Stefano; Monzani, Roberta; Ferrari, Gianluigi; Radrizzani, Danilo; Iuliani, Riccardo; Bima, Carlo; Scatizzi, Marco; Missana, Giancarlo; Guicciardi, Marco Azzola; Muratore, Andrea; Crespi, Michele; Bouzari, Hedayat; Ceretti, Andrea Pisani; Ficari, Ferdinando.
In: Updates in Surgery, 01.06.2017.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Enhanced recovery pathway in elderly patients undergoing colorectal surgery: is there an effect of increasing ages? Results from the perioperative Italian Society Registry.
AU - Braga, Marco
AU - Beretta, Luigi
AU - Pecorelli, Nicolo
AU - Maspero, Marianna
AU - Casiraghi, Umberto
AU - Borghi, Felice
AU - Pellegrino, Luca
AU - Bona, Stefano
AU - Monzani, Roberta
AU - Ferrari, Gianluigi
AU - Radrizzani, Danilo
AU - Iuliani, Riccardo
AU - Bima, Carlo
AU - Scatizzi, Marco
AU - Missana, Giancarlo
AU - Guicciardi, Marco Azzola
AU - Muratore, Andrea
AU - Crespi, Michele
AU - Bouzari, Hedayat
AU - Ceretti, Andrea Pisani
AU - Ficari, Ferdinando
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Previous studies reported that enhanced recovery pathway (ERP) is safe in elderly who did not require a specifically tailored protocol. In previous studies, elderly have been considered as a homogeneous cohort and the cut-off value to identify them was different. The aim of the present study is to assess the compliance to ERP and its impact on postoperative outcome in three subgroups of elderly patients with increasing ages. Prospectively collected data entered in an electronic Italian registry specifically designed for ERP were reviewed. 315 elderly patients undergoing elective colorectal resection were divided into three groups. Group 1: 71-75 years (n = 105), Group 2: 76-80 years (n = 117), Group 3: over 80 years (n = 93). Primary endpoints of the study were adherence to ERP and time to readiness for discharge (TRD). Compliance to ERP was similar in the three groups. No difference among groups was found for mortality, overall morbidity, major complications, reoperation rate and readmission rate. Median TRD and length of hospital stay (LOS) were progressively longer with increasing age (p = 0.018 and p = 0.078, respectively). Increasing age did not impact on adherence to ERP and postoperative morbidity, but delayed both TRD and LOS.
AB - Previous studies reported that enhanced recovery pathway (ERP) is safe in elderly who did not require a specifically tailored protocol. In previous studies, elderly have been considered as a homogeneous cohort and the cut-off value to identify them was different. The aim of the present study is to assess the compliance to ERP and its impact on postoperative outcome in three subgroups of elderly patients with increasing ages. Prospectively collected data entered in an electronic Italian registry specifically designed for ERP were reviewed. 315 elderly patients undergoing elective colorectal resection were divided into three groups. Group 1: 71-75 years (n = 105), Group 2: 76-80 years (n = 117), Group 3: over 80 years (n = 93). Primary endpoints of the study were adherence to ERP and time to readiness for discharge (TRD). Compliance to ERP was similar in the three groups. No difference among groups was found for mortality, overall morbidity, major complications, reoperation rate and readmission rate. Median TRD and length of hospital stay (LOS) were progressively longer with increasing age (p = 0.018 and p = 0.078, respectively). Increasing age did not impact on adherence to ERP and postoperative morbidity, but delayed both TRD and LOS.
KW - Colorectal surgery, Elderly, Enhanced recovery after surgery, Length of stay, Postoperative morbidity
M3 - Article
JO - Updates in Surgery
JF - Updates in Surgery
SN - 2038-131X
ER -