TY - JOUR AU - Heng, Gregory AU - Lohsiriwat, Varut AU - Tan, Kok-Yang PY - 2019/12/13 Y2 - 2024/03/29 TI - Suitability of Enhanced Recovery after Surgery (ERAS) Protocols for Elderly Colorectal Cancer Patients JF - Siriraj Medical Journal JA - Siriraj Med J VL - 72 IS - 1 SE - Original Article DO - 10.33192/Smj.2020.03 UR - https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/229147 SP - 18-23 AB - <p><strong>Objective: </strong>Enhanced recovery after surgery (ERAS) provides a multimodal approach to postsurgical recovery, seeking to reduce a patient’s stress response and promoting recovery. This study aimed to determine the suitability of ERAS protocols for elderly patients above 75 years of age.<br><strong>Methods: </strong>This is a retrospective analysis of all patients who had undergone major colorectal resections under ERAS protocols in Khoo Teck Puat Hospital, Singapore and the <em>Faculty of Medicine</em> Siriraj Hospital, Thailand between 2013 and 2014. Data collected included patient characteristics and outcomes, including length of hospitalization, and time to first flatus and mobilization.<br><strong>Results: </strong>Of the 196 patients studied, 38 were above 75 years of age. Elderly patients were more likely to have more comorbidities, a higher ASA score and a higher POSSUM predicted mortality. They also had an increased risk of developing Clavien 2 complications (OR 2.41, 95% CI 1.10-5.29). Compared to their younger counterparts, elderly patients did not have a delay in first flatus or mobilization. However, they tended to stay longer (7.89 vs. 5.16 days, p&lt;0.001). On multivariate analysis, ASA score of 3 and above was an independent risk factor for a length of stay over 1 week while age was not.<br><strong>Conclusion: </strong>This study has shown that elderly patients achieve comparable functional recovery under an enhanced recovery approach. Enhanced recovery after surgery can be adopted regardless of a patient's age.</p> ER -