Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review

Multimodal Rehabilitation in Geriatric Emergency Surgery

“…In addition to clinical improvement, there also appear to be managerial advantages in its use (1,2). Its application to elderly patients is possible (8,9), and, as suggested in the present report, it can even be applied in an emergency environment (14). Several studies have shown reductions in the length of hospital stay, more effective discharge to home, and reductions in cognitive and physical dysfunction.…”

“…The need for a multidisciplinary team is essential. A joint approach involving medical, social, managerial, familial, and other areas of expertise is necessary to effectively provide the required care (14,17,18).…”

“…Although such a model may not be applied to all patients, it would serve as a suitable way to address disease, physiologic dysfunction, and frailty. The goal is to reduce cognitive and physical dysfunction, allowing the patient to return to their previous place in society with body and mind restored (11,12,14).…”

“…Studies have shown that MR protocols were not only feasible but also led to improvements in outcomes (3)(4)(5)(6)(7).…”

“…This is not only due to the combination of specific variables that characterise the disease itself but also to patient associated illnesses, cognitive and physical status, and social and family situation. Therefore, the implementation of a MR protocol in the emergency surgery setting in elderly patients might reverse the poor outcomes usually obtained (14). These issues have particular importance today, with the increase in the average life expectancy and subsequent exponential growth of the elderly population and in turn, the number of elderly patient accessing emergency departments.…”