Improved outcomes with implementation of an Enhanced Recovery After Surgery pathway for patients undergoing elective colorectal surgery in the Philippines

Mayou Martin T. Tampo; Mark Augustine S. Onglao; Marc Paul J. Lopez; Marie Dione P. Sacdalan; Ma. Concepcion L. Cruz; Rosielyn T. Apellido; Hermogenes J. Monroy III

doi:10.3393/ac.2020.09.02

추천

검색

자료유형: 학술저널

저자정보: Mayou Martin T. Tampo (Division of Colorectal Surgery Philippine General Hospital University of the Philippines Manila) Mark Augustine S. Onglao (Division of Colorectal Surgery Philippine General Hospital University of the Philippines Manila) Marc Paul J. Lopez (Division of Colorectal Surgery Philippine General Hospital University of the Philippines Manila) Marie Dione P. Sacdalan (Division of Colorectal Surgery Philippine General Hospital University of the Philippines Manila) Ma. Concepcion L. Cruz (Department of Anesthesiology Philippine General Hospital University of the Philippines Manila) Rosielyn T. Apellido (Division of Colorectal Surgery Philippine General Hospital University of the Philippines Manila) Hermogenes J. Monroy III (Philippine General Hospital)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.38 No.2

발행연도: 2022.4

수록면: 109 - 116 (8page)

DOI: 10.3393/ac.2020.09.02

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: This study aims to evaluate surgical outcomes (i.e. length of stay [LOS], 30-day morbidity, mortality, reoperation, and readmission rates) with the use of the Enhanced Recovery After Surgery (ERAS) pathway, and determine its association with the rate of compliance to the different ERAS components.Methods: This was a prospective cohort of patients, who underwent the following elective procedures: stoma reversal (SR), colon resection (CR), and rectal resection (RR). The primary endpoint was to determine the association of compliance to an ERAS pathway and surgical outcomes. These were then retrospectively compared to outcomes prior to the implementation of ERAS.Results: A total of 267 patients were included in the study. The overall compliance to the ERAS component was 92.0% (SR, 91.8%; CR, 93.1%; RR, 90.7%). There was an associated decrease in morbidity rates across all types of surgery, as compliance to ERAS increased. The average total LOS decreased in all groups but was only found to have statistical significance in SR (12.1±6.7 days vs. 10.0±5.4 days, P=0.002) and RR (19.9±11.4 days vs. 16.9±10.5 days, P=0.04) groups. Decreased postoperative LOS was noted in all groups. Morbidity rates were significantly higher after ERAS implementation, but reoperation and mortality rates were found to be similar.Conclusion: Increased compliance to ERAS protocol is associated with a decrease in morbidity across all surgery types. The implementation of an ERAS protocol significantly decreased mean hospital LOS, without any increase in major surgical complications. Having your own hospital ERAS pathway improves documentation and accuracy of reporting surgical complications.

#Enhanced Recovery After Surgery #Length of stay #Compliance

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

Mayou Martin T. Tampo

소속기관 Division of Colorectal Surgery Philippine General Hospital University of the Philippines Manila