RT Generic
T1 Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review
A1 Paduraru, Mihai
A1 Ponchietti, Luca
A1 Martinez Casas, Isidro
A1 Svenningsen, Peter
A1 Pereira, Jorge
A1 Landaluce-Olavarria, Aitor
A1 Farre Font, Roser
A1 Pascual Miguel, Iciar
A1 Ugarte-Sierra, Bakarne
K1 ERAS
K1 elderly
K1 emergency surgery
AB Background: Geriatric surgery is rising and projected to continue at a greater rate. There is already concern about the poor outcomes for the emergency surgery in elderly. How to manage the available resources to improve outcomes in this group of patients is an important object of debate.Objectives: We aimed to determine the feasibility and safety of applying ERAS pathways to emergency elderly surgical patients.Method: Two searches were undertaken for ERAS protocols in elderly patients and emergency surgery, in order to gather evidence in relation to ERAS in geriatric emergency patients. Primary outcomes were postoperative complications, mortality, hospital length of stay and readmission rates.Results. Eighteen studies were included. The majority of patients were older than 70. Elderly patients had fewer postoperative complications and a reduced hospitalization with ERAS compared to conventional care. Emergency surgical patients also had fewer postoperative complications with ERAS compared to conventional care. Hospital stay was reduced in 2 out of 3 studies for emergency surgery.Conclusions: ERAS can be safely applied to elderly and emergency patients with a reduction in postoperative complications, hospitalization and readmission rates. There is evidence to suggest that ERAS is feasible and beneficial for geriatric emergency patients.
PB Editura celsius
SN 1221-9118
YR 2017
FD 2017-09-01
LK http://hdl.handle.net/10668/19480
UL http://hdl.handle.net/10668/19480
LA en
DS RISalud
RD Apr 11, 2025