Pancreaticoduodenectomy hospital resource utilization in octogenarians Presented at the Society of Black Academic Surgeons, April 25, 2014, Philadelphia, Pennsylvania.

Russell C. Langan, Chun Chih Huang, Weisheng Renee Mao, Katherine Harris, Will Chapman, Charles Fehring, Kesha Oza, Patrick G. Jackson, Reena Jha, Nadim Haddad, John Carroll, Jane Hanna, Ann Parker, Waddah B. Al-Refaie, Lynt B. Johnson

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background Although pancreaticoduodenectomy (PD) is feasible in patients greater than or equal to 80 years, little is known about the potential strain on resource utilization. Methods Outcomes and inpatient charges were compared across age cohorts (I: ≤70, II: 71 to 79, III: ≥80 years) in 99 patients who underwent PD (2005 to 2013) at our institution. The generalized linear modeling approach was used to estimate the impact of age. Results Perioperative complications were equivalent among cohorts. Increasing age was associated with intensive care unit use, increased length of stay (LOS), and the likelihood of discharge to a skilled facility. After controlling for covariates, hospital charges were significantly higher in Cohort III (P =.006) and Cohort II (P =.035) when compared with Cohort I. However, hospital charges between Cohorts II and III were equivalent (P =.374). Complications (P =.005) and LOS (P <.001) were associated with higher hospital charges. Conclusions Increasing age was associated with increased intensive care unit, LOS, and discharge to skilled facilities. However, octogenarians had equivalent PD charges and outcome measures when compared with septuagenarians and future studies should validate these findings in larger national studies.

Original languageEnglish
Pages (from-to)70-75
Number of pages6
JournalAmerican journal of surgery
Volume211
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • Age disparity
  • Octogenarian
  • Surgical cost analysis
  • Whipple

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