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10.1055/s-0034-1365281 http://scihub22266oqcxt.onion/10.1055/s-0034-1365281 C4423280!4423280!26134610     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Endosc+Int+Open 2014 ; 2 (1): E28-36 Nephropedia Template TP {{tp|p=26134610|t=2014. Adverse events in older patients undergoing ERCP: a systematic review and meta-analysis |pdf=|usr=}}{{26134610}} gab.com Text Adverse events in older patients undergoing ERCP: a systematic review and meta-analysis JO: Endosc Int Open http://www.kidney.de/pget.php?&tw=1&pmid=26134610 #FOAvip Background and study aims: Biliary and pancreatic diseases are common in the elderly; however, few studies have addressed the occurrence of adverse events in elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Our objective was to determine the incidence rates of specific adverse events in this group and calculate incidence rate ratios (IRRs) for selected comparison groups.Patients and methods: Bibliographical searches were conducted in Medline, EMBASE, and Cochrane library databases. The studies included documented the incidence of adverse events (perforation, pancreatitis, bleeding, cholangitis, cardiopulmonary adverse events, mortality) in patients aged???65 who underwent ERCP. Pooled incidence rates were calculated for each reported adverse event and IRRs were determined for available comparison groups. A parallel analysis was performed in patients aged???80 and???90.Results: Our literature search yielded 7429 articles, of which 69 studies met our inclusion criteria. Pooled incidence rates for adverse events (per 1000 ERCPs) in patients aged???65 were as follows: perforation 3.8 (95?%CI 1.8???7.0), pancreatitis 13.1 (95?%CI 11.0???15.5), bleeding 7.7 (95?%CI 5.7???10.1), cholangitis 16.1 (95?%CI 11.7???21.7), cardiopulmonary events 3.7 (95?%CI 1.5???7.6), and death 7.1 (95?%CI 5.2???9.4). Patients???65 had lower rates of pancreatitis (IRR 0.3, 95?%CI 0.3???0.4) compared with younger patients. Octogenarians had higher rates of death (IRR 2.4, 95?%CI 1.3???4.5) compared with younger patients, whereas nonagenarians had increased rates of bleeding (IRR 2.4, 95?%CI 1.1???5.2), cardiopulmonary events (IRR 3.7, 95?%CI 1.0???13.9), and death (IRR 3.8, 95?%CI 1.0???14.4).Conclusions ERCP appears to be safe in elderly patients, except in the very elderly who are at higher risk of some adverse events. These data on adverse event rates can help to inform clinical decision-making, the consent process, and comparative effectiveness analyses. Twit Text FOAVip Adverse events in older patients undergoing ERCP: a systematic review and meta-analysis ????Endosc Int Open http://www.kidney.de/pget.php?&tw=1&pmid=26134610 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26134610 #FOAvip English Wikipedia <ref>{{Cite pmid|26134610}}</ref> Adverse events in older patients undergoing ERCP: a systematic review and meta-analysis #MMPMID26134610 Day LW; Lin L; Somsouk M Endosc Int Open 2014[Mar]; 2 (1): E28-36 PMID26134610show ga Background and study aims: Biliary and pancreatic diseases are common in the elderly; however, few studies have addressed the occurrence of adverse events in elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Our objective was to determine the incidence rates of specific adverse events in this group and calculate incidence rate ratios (IRRs) for selected comparison groups.Patients and methods: Bibliographical searches were conducted in Medline, EMBASE, and Cochrane library databases. The studies included documented the incidence of adverse events (perforation, pancreatitis, bleeding, cholangitis, cardiopulmonary adverse events, mortality) in patients aged???65 who underwent ERCP. Pooled incidence rates were calculated for each reported adverse event and IRRs were determined for available comparison groups. A parallel analysis was performed in patients aged???80 and???90.Results: Our literature search yielded 7429 articles, of which 69 studies met our inclusion criteria. Pooled incidence rates for adverse events (per 1000 ERCPs) in patients aged???65 were as follows: perforation 3.8 (95?%CI 1.8???7.0), pancreatitis 13.1 (95?%CI 11.0???15.5), bleeding 7.7 (95?%CI 5.7???10.1), cholangitis 16.1 (95?%CI 11.7???21.7), cardiopulmonary events 3.7 (95?%CI 1.5???7.6), and death 7.1 (95?%CI 5.2???9.4). Patients???65 had lower rates of pancreatitis (IRR 0.3, 95?%CI 0.3???0.4) compared with younger patients. Octogenarians had higher rates of death (IRR 2.4, 95?%CI 1.3???4.5) compared with younger patients, whereas nonagenarians had increased rates of bleeding (IRR 2.4, 95?%CI 1.1???5.2), cardiopulmonary events (IRR 3.7, 95?%CI 1.0???13.9), and death (IRR 3.8, 95?%CI 1.0???14.4).Conclusions ERCP appears to be safe in elderly patients, except in the very elderly who are at higher risk of some adverse events. These data on adverse event rates can help to inform clinical decision-making, the consent process, and comparative effectiveness analyses. äAdverse events in older patients undergoing ERCP: a systematic review (epmc).pdf DeepDyve Pubget Overpricing