Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review

Q: What is the clinical evidence from this study?

Study design: Systematic Review. Population: Geriatric emergency surgery (n=1525). Intervention: Enhanced Recovery After Surgery (ERAS) vs. Conventional care. Primary outcome: Postoperative complications, mortality, hospital length of stay, and readmission rates.

Mihai Păduraru; Luca Ponchietti; Isidro Martínez-Casas; Peter Svenningsen; Jorge Pereira; Aitor Landaluce-Olavarria; Roser Font; Iciar Pascual Miguel; Bakarne Ugarte-Sierra

doi:10.21614/chirurgia.112.5.546

January 1, 2017ChirurgiaOpen Access

Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review

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Key result

Enhanced Recovery After Surgery (ERAS) pathways can be safely applied to geriatric and emergency surgical patients, reducing postoperative complications and hospital length of stay compared to conventional care.

Why the study?

Do Enhanced Recovery After Surgery (ERAS) protocols improve postoperative outcomes in geriatric emergency surgery patients?

Study Design

Type

Systematic Review (n=1,525)

Structured PICO

Do Enhanced Recovery After Surgery (ERAS) protocols improve postoperative outcomes in geriatric emergency surgery patients?

P

Population

1,525 patients across 18 studies (1,214 elderly and 311 emergency surgery patients) evaluated for the safety and feasibility of Enhanced Recovery After Surgery (ERAS) pathways, with most studies having a 30-day follow-up.

I

Intervention

Enhanced Recovery After Surgery (ERAS) protocols

C

Comparator

Conventional care, younger patients, or elective surgery

O

Outcome

Postoperative complications, mortality, length of hospital stay, and readmission rates at 30 dayshard clinical

ERAS protocols can be safely and feasibly applied to geriatric emergency surgery patients, leading to reduced postoperative complications and shorter hospital stays.

Limitations

Few published studies specifically evaluating ERAS in geriatric emergency surgery
Included studies were heterogeneous in focus, age groups, and pathologies
High risk of bias in two of the included randomized controlled trials
Inconsistent reporting of mortality rates across studies
Varying definitions of 'elderly' and differing interpretations of individual ERAS elements
Low quality of some included RCTs (high risk of bias)
Included studies were less homogeneous in focus, including all age groups and different pathologies
Mortality rates were difficult to evaluate as they were less frequently reported

Implication

Supports ERAS adoption in geriatric emergency surgery; extends evidence from elective to urgent high-risk populations.

Abstract

Chirurgia geriatric, ntr-un proces de prevalen accelerant n practica clinic, genereaz un nalt interes cu privire la rezultatele postoperatorii n cazurile de urgen. Gestiunea resurselos existente pentru mbunatirea parametrilor postoperai n acest grup de pacieni, reprezint un important subiect de dezbatere. Obiective: Determinarea fezabilitii i securitii aplicrii protocoalelor ERAS (Enhanced recovery after surgery) n chirurgia geriatrice de urgen. Material i metod: Dou cutri bibliografice au fost realizate n relaie cu ERAS, vrstnici i chirurgie de urgen, cu scopul de a identifica evidena stiiific specific. Parametrii studiai au fost: complicaiile postoperatorii, mortalitatea, timpul de spitalizare i numrul de reinternri. Rezultate: 18 studii au fost incluse. Majoritatea includ pacieni de peste 70 de ani. Vrstnicii au dezvoltat mai puine complicaii i au necesitat mai puine zile

Discussion

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Cite This Study

Păduraru et al. (2017) conducted a systematic review in Geriatric emergency surgery (n=1,525). Enhanced Recovery After Surgery (ERAS) vs. Conventional care was evaluated on Postoperative complications, mortality, hospital length of stay, and readmission rates. Enhanced Recovery After Surgery (ERAS) pathways can be safely applied to geriatric and emergency surgical patients, reducing postoperative complications and hospital length of stay compared to conventional care.

synapsesocial.com/papers/6a830970687d8bb80798fac0 https://doi.org/10.21614/chirurgia.112.5.546

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Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review

Study Design

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review

Study Design

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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