Enhanced Recovery After Colorectal Surgery (ERAS) in Elderly Patients Is Feasible and Achieves Similar Results as in Younger Patients

Gerontology & Geriatric Medicine
H M ForsmoF Pfeffer

Abstract

Aim: Enhanced recovery after surgery (ERAS) is a multimodal approach that aims to optimize perioperative treatment. Whether elderly patients receiving colorectal surgery can adhere to and benefit from an ERAS approach is uncertain. The aim of this study was to compare patients in different age groups participating in an ERAS program. Method: In this substudy of a randomized controlled trial, we analyzed the interventional ERAS arm of adult patients eligible for laparoscopic or open colorectal resection with regard to the importance of age. Patients were divided into three groups based on age: ≤65 years (n = 79), 66-79 years (n = 56), and ≥80 years (n = 19). The primary end point was total postoperative hospital stay (THS). Secondary end points were postoperative hospital stay, postoperative complications, postoperative C-reactive protein levels, readmission rate, mortality, and patient adherence to the different ERAS elements. All parameters and measuring the adherence to the ERAS protocol were recorded before surgery, on the day of the operation, and daily until discharge. Results: There were no significant differences in length of THS between age groups (≤65 years, median 5 [range 2-47] days; 66-79 years, median 5.5 [range 2-...Continue Reading

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Citations

Mar 8, 2018·Aging Clinical and Experimental Research·Gabriella Bettelli, Stefania Maggi
Jun 29, 2018·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·A ByrnesJ Bauer
Oct 9, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Runqi GongZhijun Xia
Dec 19, 2019·International Journal of Colorectal Disease·Susanna NiemeläinenMarja Hyöty
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Dec 3, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·H MeillatB Lelong

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Clinical Trials Mentioned

NCT01610726

Software Mentioned

SPSS Statistics

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