Does Endoscopic Retrograde Cholangiopancreatography Carry Higher Risk for Patients 90 Years and Older? A Single-Institution Retrospective Study

Shingo Ogiwara; Makoto Furihata; Yoshihiro Inami; Hiroki Okawa; Yusuke Nomoto; Tsuneo Kitamura; Taro Osada; Akihito Nagahara

doi:10.12659/MSM.928033

07 December 2020 : Database Analysis

Does Endoscopic Retrograde Cholangiopancreatography Carry Higher Risk for Patients 90 Years and Older? A Single-Institution Retrospective Study

Shingo Ogiwara^1ABCDEF*, Makoto Furihata^1ABCDEF, Yoshihiro Inami^2AD, Hiroki Okawa^1B, Yusuke Nomoto^1B, Tsuneo Kitamura^1D, Taro Osada^1DE, Akihito Nagahara^3D

DOI: 10.12659/MSM.928033

Med Sci Monit 2020; 26:e928033

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Table 1 Patients’ backgrounds and demographic data.

		Group A (n=66)	Group B (n=43)	p-Value
Gender	Male	18	18	0.152
Gender	Female	48	25	0.152
Age		92.27±2.10	75.11±2.86	<0.001^*
PS	0:	4	28
	1:	16	7
	2:	12	4
	3:	24	2
	4:	10	2
	Mean:	2.30±1.18	0.67±1.13
	Median	3	0	<0.001^*
ASA	I:	4	9
	II:	21	25
	III:	41	7
	IV:	0	2
	Median	III	II	<0.001^*
Antiplatelet therapy	None:	41	39
	Single:	19	3
	Dual:	6	1
	Intake percentage:	25 (39.68%)	4 (9.3%)	0.030^*
Comorbidities	1) Psychiatric	5 (7.58%)	2 (4.65%)	0.535
	2) Neurogenic	0 (0.00%)	2 (4.65%)	0.052
	3) Malignancy	6 (9.09%)	10 (23.26%)	0.046^*
	4) Respiratory	0 (0.00%)	1 (2.33%)	0.213
	5) Cardiovascular	44 (66.67%)	12 (27.91%)	<0.001^*
	6) Renal	7 (10.61%)	0 (0.00%)	0.027^*
	7) Metabolic	12 (18.18%)	10 (23.81%)	0.439
	8) Celebrovascular	12 (18.18%)	2 (4.65%)	0.039^*
	9) Orthopedic	6 (9.09%)	0 (0.00%)	0.042^*
	10) Others	2 (3.03%)	2 (4.65%)	0.660
	Total	58 (87.88%)	29 (67.44%)	0.0094^*
Laboratory data	1) Amylase	84.87 (U/L)	257.55 (U/L)	0.002^*
	2) CRP	6.829 (mg/dL)	3.451 (mg/dL)	0.005^*
	3) WBC	9050 (/m)	7034 (/m)	0.193
	4) T-Bil	3.04 (mg/dL)	3.01 (mg/dL)	0.889
	5) D-Bil	2.625 (mg/dL)	2.44 (mg/dL)	0.556
	6) AST	132.54 (U/L)	105.02 (U/L)	0.349
	7) ALT	112.7 (U/L)	78.71 (U/L)	0.096
^* Positive for significant difference.

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Does Endoscopic Retrograde Cholangiopancreatography Carry Higher Risk for Patients 90 Years and Older? A Single-Institution Retrospective Study

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