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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review

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  • Mihai Paduraru
  • Luca Ponchietti
  • Isidro Martinez Casas
  • Peter Svenningsen
  • Jorge Pereira
  • Aitor Landaluce-Olavarria
  • Roser Farre Font
  • Iciar Pascual Miguel
  • Bakarne Ugarte-Sierra
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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.

Original languageEnglish
JournalChirurgia (Bucharest, Romania : 1990)
Volume112
Issue number5
Pages (from-to)546-557
Number of pages12
ISSN1221-9118
DOIs
Publication statusPublished - 1 Nov 2017

    Research areas

  • Journal Article

ID: 52792428