ERAS protocol validation in a propensity-matched cohort of patients undergoing colorectal surgery

International Journal of Colorectal Disease
Riccardo LeminiDorin T Colibaseanu

Abstract

Enhanced recovery after surgery (ERAS) provides many benefits. However, important knowledge gaps with respect to specific components of enhanced recovery after surgery remain because of limited validation data. The aim of the study was to validate a mature ERAS protocol at a different hospital and in a similar population of patients. This is a retrospective analysis of patients undergoing elective colorectal surgery from 2009 through 2016. Patients enrolled in ERAS are compared with those undergoing the standard of care. Patient demographic characteristics, length of stay, pain scores, and perioperative morbidity are described. Patients (1396) were propensity matched into two equal groups (ERAS vs non-ERAS). No significant difference was observed for age, Charlson Comorbidity Index, American Society of Anesthesiologists score, body mass index, sex, operative approach, and surgery duration. Median length of stay in ERAS and non-ERAS groups was 3 and 5 days (P < .001). Mean pain scores were lower in the ERAS group, measured at discharge from the postanesthesia unit (P < .001), on postoperative day 1 (P = .002) and postoperative day 2 (P = .02) but were identical on discharge. This ERAS protocol was validated in a similar patient ...Continue Reading

References

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Citations

Mar 7, 2019·Current Gastroenterology Reports·Harith H MushtaqAmit K Agarwal
Jul 22, 2020·Diseases of the Colon and Rectum·Fabian GrassDavid W Larson
Oct 19, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Oh JeongSeong Yeob Ryu
Jun 3, 2021·Healthcare·Jenna K Lovely, David W Larson
Jul 28, 2021·Journal of Robotic Surgery·Giacomo CaliniDavid W Larson

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