No abstract

No abstract

Background Although pancreaticoduodenectomy (PD) is feasible in patients ≥ 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 – 79, III: ≥ 80 years) in 99 patients who underwent PD (2005–2013) 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 ICU 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=0.006) and Cohort-II (P=0.035) when compared to Cohort-I. However, hospital charges between Cohorts-II and III were equivalent (P=0.374). Complications (P=0.005) and LOS (P<0.001) were associated with higher hospital charges. Conclusions Increasing age was associated with increased ICU, LOS and discharge to skilled facilities. However, octogenarians had equivalent PD charges and outcome measures when compared to septuagenarians and future studies should validate these findings in larger national studies.

No abstract