Proposed Topic (Most preferred): :
Enhancing Partnership with Patients and Community (Projects initiated to engage patients / carers / community to improve efficiency / quality of care)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
Hung SWD (1), Chu WHC (1), Kwok KH (1)
Affiliation :
(1) Department of Surgery, Queen Elizabeth Hospital
Introduction :
The enhanced recovery after surgery program has been well established for patients undergoing colorectal surgery. However, there has been a lack of studies on its use for elderly patients. Our unit implemented the ERAS program in September 2018.
Objectives :
The aim of this study is to evaluate the outcome of the ERAS program in patients over 75 years old undergoing colorectal surgery.
Methodology :
This retrospective study compared all patients aged 75 and above who were admitted to the Queen Elizabeth Hospital for elective colorectal cancer surgery prior to the ERAS implementation (1st January 2016 to 31st August 2018), versus after (1st April 2019 to March 2022). The primary end point was post-operative length of stay. Secondary end points included wound infection, retention of urine, pneumonia, deep vein thrombosis, pulmonary embolism, use of total parenteral nutrition, acute coronary syndrome, blood transfusion, reoperation, in-hospital mortality, unplanned readmission within 28 days, and clinical fragility score.
Result & Outcome :
258 patients were included. Median length of stay was 8.4 days in the pre-ERAS group versus 6.8 days in the ERAS group. In-patient death (1.4% in the pre-ERAS group versus 0.9% in the ERAS group) and readmission rate (7.7% in the pre-ERAS group versus 12.2% in the ERAS group) were similar between the two groups. 31.5% patients in the pre-ERAS group had higher clinical fragility score post-operatively as compared with 7.8% in the ERAS group.
