Enhanced recovery programmes in colorectal surgery are less enhanced later in the week: An observational study

JRSM Open
Ugochukuwu IhediohaSanjay Chaudhri

Abstract

Since the introduction and favourable early results of the enhanced recovery programme more than a decade ago, it has become increasingly popular following major abdominal surgery. The programme has now been adopted in the UK. The aim of our study was to see if the day of surgery affected hospital stay and we compared patients who had colorectal surgery early in the week (Monday to Wednesday) with those who had it later in the week (Thursday to Friday). Patient outcomes were studied between May 2010 and April 2011 from a prospectively maintained database. All colorectal surgeons involved in the enhanced recovery programme in our unit have a flexible rota and so no surgeon was operating on a particular day to avoid bias. An enhanced recovery programme protocol was utilised for all the patients with no bowel preparation, early feeding and early mobilisation. Study was carried out at the University Hospitals of Leicester. Patients undergoing elective colorectal resection between Monday and Friday. Hospital stay. Two hundred and twenty-seven patients underwent surgery and were on the enhanced recovery programme during this period. Two (0.9%) patients who had surgery on a Sunday were excluded. Two hundred and twenty-five patients we...Continue Reading

References

Mar 3, 2004·Diseases of the Colon and Rectum·Linda BasseHenrik Kehlet
Apr 17, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G MacKayP J O'Dwyer
Jul 6, 2010·The British Journal of Surgery·P O HendryUNKNOWN Enhanced Recovery After Surgery (ERAS) Group

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