dc.creator | Bass, Gary A. | es |
dc.creator | Gillis, Amy E. | es |
dc.creator | Cao, Yang | es |
dc.creator | Mohseni, Shahin | es |
dc.creator | Tallón Aguilar, Luis | es |
dc.date.accessioned | 2022-10-27T15:37:53Z | |
dc.date.available | 2022-10-27T15:37:53Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Bass, G.A., Gillis, A.E., Cao, Y., Mohseni, S. y Tallón Aguilar, L. (2021). Patients over 65 years with acute complicated calculous biliary disease are treated differently-Results and insights from the ESTES snapshot audit. World Journal of Surgery, 45 (7), 2046-2055. https://doi.org/10.1007/s00268-021-06052-0. | |
dc.identifier.issn | 0364-2313 | es |
dc.identifier.issn | 1432-2323 (electrónico) | es |
dc.identifier.uri | https://hdl.handle.net/11441/138438 | |
dc.description.abstract | Background Accrued comorbidities are perceived to increase operative risk. Surgeons may offer operative treat ments less often to their older patients with acute complicated calculous biliary disease (ACCBD). We set out to
capture ACCBD incidence in older patients across Europe and the currently used treatment algorithms.
Methods The European Society of Trauma and Emergency Surgery (ESTES) undertook a snapshot audit of patients
undergoing emergency hospital admission for ACCBD between October 1 and 31 2018, comparing patients under
and C 65 years. Mortality, postoperative complications, time to operative intervention, post-acute disposition, and
length of hospital stay (LOS) were compared between groups. Within the C 65 cohort, comorbidity burden, mor tality, LOS, and disposition outcomes were further compared between patients undergoing operative and non operative management.
Results The median age of the 338 admitted patients was 67 years; 185 patients (54.7%) of these were the age of
65 or over. Significantly fewer patients C 65 underwent surgical treatment (37.8% vs. 64.7%, p \0.001). Surgical
complications were more frequent in the C 65 cohort than younger patients, and the mean postoperative LOS was
significantly longer. Postoperative mortality was seen in 2.2% of patients C 65 (vs. 0.7%, p = 0.253). However,
operated elderly patients did not differ from non-operated in terms of comorbidity burden, mortality, LOS, or post discharge rehabilitation need.
Conclusions Few elderly patients receive surgical treatment for ACCBD. Expectedly, postoperative morbidity, LOS,
and the requirement for post-discharge rehabilitation are higher in the elderly than younger patients but do not differ
from elderly patients managed non-operatively. With multidisciplinary perioperative optimization, elderly patients
may be safely offered optimal treatment. | es |
dc.format | application/pdf | es |
dc.format.extent | 10 p. | es |
dc.language.iso | eng | es |
dc.publisher | Springer | es |
dc.relation.ispartof | World Journal of Surgery, 45 (7), 2046-2055. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Calculous Biliary | es |
dc.subject | ESTES Snapshot Audit | es |
dc.title | Patients over 65 years with acute complicated calculous biliary disease are treated differently-Results and insights from the ESTES snapshot audit | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://link.springer.com/article/10.1007/s00268-021-06052-0 | es |
dc.identifier.doi | 10.1007/s00268-021-06052-0 | es |
dc.journaltitle | World Journal of Surgery | es |
dc.publication.volumen | 45 | es |
dc.publication.issue | 7 | es |
dc.publication.initialPage | 2046 | es |
dc.publication.endPage | 2055 | es |