Impact of Compliance With Components of an ERAS Pathway on the Outcomes of Anatomic VATS Pulmonary Resections.

Journal of Cardiothoracic and Vascular Anesthesia
Céline ForsterMichel Gonzalez

Abstract

Implementation of an Enhanced Recovery After Surgery (ERAS) program is associated with better postoperative outcomes. The aim of this study was to evaluate the impact of ERAS compliance (overall and to specific elements of the program) on them. Retrospective analysis of prospectively collected data. University hospital, monocentric. All adult (≥18 years old) patients undergoing video-assisted thoracic surgery (VATS) anatomic pulmonary resection. ERAS-governed VATS anatomic pulmonary resection. Demographics, surgical characteristics and pre-, peri-, and postoperative compliance with 16 elements of the ERAS program were assessed. Postoperative outcomes and length of stay were compared between low- (<75% of adherence) and high-compliance (≥75%) groups. From April 2017 to November 2018, 192 ERAS patients (female/male: 98/94) of median age of 66 years (interquartile range 58-71) underwent VATS resection (109 lobectomies, 83 segmentectomies). There was no 30-day mortality and resurgery rate was 5.7%. Overall ERAS compliance was 76%. High compliance was associated with fewer complications (18% v 48%, p < 0.0001) and lower rate of delayed discharge (37% v 60%, p = 0.0013). Early removal of chest tubes (odds ratio [OR]: 0.26, p < 0.002)...Continue Reading

Citations

May 16, 2020·Journal of Cardiothoracic Surgery·Alina-Maria BudacanBabu Naidu
Dec 3, 2020·American Journal of Perinatology·Caitlin A MacGregorRebecca Blumenthal
Dec 18, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·René Horsleben PetersenHenrik Kehlet
Aug 18, 2020·The Annals of Thoracic Surgery·Audrey L KhouryJason M Long
Oct 15, 2020·Interactive Cardiovascular and Thoracic Surgery·Karel Pfeuty, Bernard Lenot
Jun 1, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Michael L BoisenTheresa A Gelzinis
Jun 28, 2021·The Thoracic and Cardiovascular Surgeon·Lei LiuShanqing Li
Oct 16, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cecilia PompiliAlessandro Brunelli
Jul 20, 2021·Interactive Cardiovascular and Thoracic Surgery·Céline ForsterMichel Gonzalez

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