Implementation of an enhanced recovery program for bariatric surgery.

Surgical Endoscopy
James TaylorMichael Schweitzer

Abstract

Enhanced recovery after surgery (ERAS) programs have been successfully implemented in several surgical fields; however, there have been mixed results observed in bariatric surgery. Our institution implemented an enhanced recovery program with specific pre-, intra-, and post-operative protocols aimed at patients, nursing staff, and physicians. The aim of the study is to assess the effectiveness of the ERAS program. Patients who underwent bariatric surgery prior to the implementation of the enhanced recovery program in the calendar year 2015 were compared to those who had surgery after implementation in 2017. Data for our institution was drawn from the Premier Hospital Database. Poisson and quantile regressions were used to examine the association between ERAS protocol and LOS and cost, respectively. Logistic regression was used to assess the impact of ERAS on 30-day complications and readmissions. 277 bariatric surgical procedures were performed in the pre-ERAS group, compared to 348 procedures post-ERAS. While there was a 25.6% increase in volume, there was no statistical difference between the patient populations or the type of procedure performed between the 2 years. A decrease in length of stay was observed from 2.77 days in...Continue Reading

References

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Jan 5, 2019·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jaime Ruiz-TovarManuel Duran

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Citations

Aug 29, 2020·Surgical Endoscopy·Giovanni FantolaRoberto Moroni
Jul 28, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Sergio Navarro-MartínezErnesto Armañanzas Villena
Nov 19, 2020·Obesity Surgery·Nicholas GastaldoChristopher R Daigle

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