Surgical Outcomes of Distal Pancreatectomy in Elderly Patients.
Age Factors
Aged
Comorbidity
Female
Humans
Laparoscopy
/ statistics & numerical data
Length of Stay
Male
Operative Time
Pancreatectomy
/ adverse effects
Pancreaticojejunostomy
/ statistics & numerical data
Patient Readmission
Postoperative Complications
Quality Improvement
Risk Factors
Treatment Outcome
age-related outcomes
distal pancreatectomy
elderly patient
Journal
The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
pubmed:
22
12
2020
medline:
24
12
2021
entrez:
21
12
2020
Statut:
ppublish
Résumé
The extent to which age impacts surgical outcomes remains poorly characterized. This study aims to evaluate the impact of age on 30-day outcomes in patients after distal pancreatectomy. Using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database (2017), distal pancreatectomy patients were identified and age-stratified, groups A (≤75 years) and B (>75 years). Outcomes included 30-day mortality, morbidity, readmissions, operative time (min), and hospital length of stay (LOS, days). Of 3042 total patients identified, 1686 (55.4%) were women. A total of 2649 patients (87.1%) were in group A. Overall, both groups had similar baseline characteristics with the exception of the following: diabetes mellitus (24.8% vs. 30.0%, Those undergoing distal pancreatectomy experienced similar overall morbidity and mortality outcomes regardless of age. However, those older than 75 years had more cardiovascular risk factors, which may have contributed to their higher rates of postoperative ARF and MI.
Sections du résumé
BACKGROUND
BACKGROUND
The extent to which age impacts surgical outcomes remains poorly characterized. This study aims to evaluate the impact of age on 30-day outcomes in patients after distal pancreatectomy.
METHODS
METHODS
Using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database (2017), distal pancreatectomy patients were identified and age-stratified, groups A (≤75 years) and B (>75 years). Outcomes included 30-day mortality, morbidity, readmissions, operative time (min), and hospital length of stay (LOS, days).
RESULTS
RESULTS
Of 3042 total patients identified, 1686 (55.4%) were women. A total of 2649 patients (87.1%) were in group A. Overall, both groups had similar baseline characteristics with the exception of the following: diabetes mellitus (24.8% vs. 30.0%,
CONCLUSION(S)
CONCLUSIONS
Those undergoing distal pancreatectomy experienced similar overall morbidity and mortality outcomes regardless of age. However, those older than 75 years had more cardiovascular risk factors, which may have contributed to their higher rates of postoperative ARF and MI.
Identifiants
pubmed: 33342301
doi: 10.1177/0003134820982574
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM