61 - Freie Mitteilung
HPB II & general oncology
16. Mai 2019, 13:45 - 15:15, Bellavista 5, 6. OG
Enhanced recovery in elderly patients undergoing pancreatic resection: Does age really matter?
S. Scarsi, N. Halkic, N. Demartines, D. Roulin, Presenter: S. Scarsi (Lausanne)
Enhanced recovery after surgery (ERAS) pathway for hepato-biliary surgery is well-established in clinical practice. Nevertheless, there is a lack of specific evidence concerning the application of an ERAS pathway to elderly patients undergoing pancreatic resection. The aim of the study was to assess the impact of age on compliance and postoperative outcome.
Retrospective analysis based on a prospective database, including all patients >= 70 years old undergoing pancreatic resection within an ERAS pathway in a tertiary referral center between October 1st 2012 and August 31st 2018. Patients were divided in three groups (70-74 years old, 75-79 years old, >= 80 years old). Primary outcome was compliance with all ERAS elements. Secondary outcomes were length of stay, mortality, readmission rates, overall and major complications.
One hundred fourteen patients were included in the three groups: 49 patients aged 70-74 years, 37 patients aged 75-79 years, and 28 patients aged >=80 years. There was no difference in compliance rates between the different groups (57% vs 60% vs 55%, respectively, p = 0.096). No significant difference was observed in terms of median length of stay (14 vs 18 vs 16 days, respectively; p = 0.069), complication rates (78% vs 86% vs 82%, respectively; p = 0.569), major complications (29% vs 35% vs 43% respectively; p = 0.441), mortality (0 vs 0 vs 3%, respectively; p = 0.212) or readmission rates (10% vs 3% vs 10%, respectively; p = 0.361) with increasing age.
Application of an ERAS pathway is feasible for elderly patients undergoing pancreatic resection. Increasing age was not associated with different compliance or postoperative outcome.