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Multimodal Rehabilitation in Geriatric Emergency Surgery
Chirurgia (Bucharest, Romania : 1990)
|November 1, 2017
Summary
Enhanced recovery after surgery (ERAS) pathways show promise for improving outcomes in geriatric emergency surgery. Multimodal rehabilitation programs are key to reducing high morbidity and mortality rates in elderly patients undergoing urgent surgery.
Area of Science:
- Geriatric Surgery
- Perioperative Care
- Multimodal Rehabilitation
Background:
- Enhanced Recovery After Surgery (ERAS) protocols standardize perioperative care to reduce surgical stress.
- While ERAS has shown success in general emergency surgery, its application in geriatric emergency surgery is limited.
- Elderly patients undergoing emergency surgery face high rates of morbidity and mortality.
Purpose of the Study:
- To explore the potential application of ERAS pathways in geriatric emergency surgery.
- To identify evidence supporting the use of multimodal rehabilitation to improve outcomes in elderly surgical patients.
Main Methods:
- Literature search using terms: "ERAS", "fast-track", "emergency surgery", "emergency medicine", "multimodal rehabilitation", "elderly patient".
- Review of scientific evidence to support the opinion on ERAS application in geriatric emergency surgery.
Main Results:
- Limited studies currently support ERAS in geriatric emergency surgery.
- ERAS has the potential to improve outcomes for this vulnerable patient group.
Conclusions:
- Urgent surgery in elderly patients is linked to higher morbidity and mortality.
- Multimodal rehabilitation programs represent a viable strategy to enhance postoperative outcomes for geriatric emergency surgery patients.
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