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Endobronchial ultrasound transbronchial needle aspiration in elderly patients: safety and performance outcomes EBUS-TBNA in elderly

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dc.contributor.authorTUFAN ÇİNÇİN, ASLI
dc.contributor.authorsYildizeli, Sehnaz Olgun; Tufan, Asli; Bozkurtlar, Emine; Arikan, Huseyin; Kocakaya, Derya; Eryuksel, Emel; Ceyhan, Berrin; Karakurt, Sait
dc.date.accessioned2022-03-12T22:39:59Z
dc.date.available2022-03-12T22:39:59Z
dc.date.issued2020
dc.description.abstractAim Complication rates are low and endobronchial ultrasound guided needle aspiration (EBUS-TBNA) is generally regarded as a safe procedure, but there is a very limited number of studies evaluating the efficacy and safety of the procedure in advanced ages. The aim of this study is to assess the safety and performance outcomes of EBUS-TBNA in elderly. Methods It was a retrospective observational study; patients who received EBUS-TBNA between September 2016 and January 2018 were evaluated. We analyzed patient's characteristics, doses of midazolam, and lidocaine used, regions of lymph node biopsies, and complications. Also, functionality and general physical status of patients over 65 years of age were evaluated. Results During study period 132 cases of EBUS-TBNA were evaluated. 39 (29.5%) cases were aged 70 years, and over. There were more comorbidities in older group. Performance status of older group was worse. Furthermore, when evaluated according to American College of Cardiology (ACC)/American Heart Association (AHA) and American Society of Anesthesiologists (ASA), the older group was found to be composed of the riskier patients. When patients aged between 65 and 69, and over 70 compared, older patient's Barthel, EQ 5-D, SGA, and G8 scores were found to be worse. Despite that, there was no difference in the frequency, and types of complications between both groups. Diagnostic performance was not different between age groups. Conclusions Independent from comorbidities, general health status, and functionality EBUS-TBNA procedure in 70-year-old and over patients is a safe minimally invasive procedure.
dc.identifier.doi10.1080/13685538.2018.1538337
dc.identifier.eissn1473-0790
dc.identifier.issn1368-5538
dc.identifier.pubmed30457426
dc.identifier.urihttps://hdl.handle.net/11424/235887
dc.identifier.wosWOS:000641856000028
dc.language.isoeng
dc.publisherTAYLOR & FRANCIS LTD
dc.relation.ispartofAGING MALE
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBronchoscopy
dc.subjectelderly
dc.subjectsafety
dc.subjectultrasound
dc.subjectLUNG-CANCER
dc.titleEndobronchial ultrasound transbronchial needle aspiration in elderly patients: safety and performance outcomes EBUS-TBNA in elderly
dc.typearticle
dspace.entity.typePublication
local.avesis.id530b524f-1caf-4c74-8c57-173b161b37b7
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
oaire.citation.endPage512
oaire.citation.issue5
oaire.citation.startPage507
oaire.citation.titleAGING MALE
oaire.citation.volume23
relation.isAuthorOfPublication063b9d16-c06a-4538-b251-9c3efacf3252
relation.isAuthorOfPublication.latestForDiscovery063b9d16-c06a-4538-b251-9c3efacf3252

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