Analysis of ERAS protocol adherence and postoperative outcomes after major colorectal surgery in a community hospital

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-10-16 DOI:10.1016/j.amjsurg.2024.116022

Ashlyn B. White, Steven D. Scarcliff, Tyler J. Stoneman, Dylan S. Schindele, Blake A. Lyon, Charlton T. Nguyen, Sarah E. Thompson, Amy E. Hudson

{"title":"Analysis of ERAS protocol adherence and postoperative outcomes after major colorectal surgery in a community hospital","authors":"Ashlyn B. White, Steven D. Scarcliff, Tyler J. Stoneman, Dylan S. Schindele, Blake A. Lyon, Charlton T. Nguyen, Sarah E. Thompson, Amy E. Hudson","doi":"10.1016/j.amjsurg.2024.116022","DOIUrl":null,"url":null,"abstract":"<div><div>Despite widespread adoption, the efficacy of Enhanced Recovery After Surgery (ERAS) protocols in community hospital settings remains understudied. This retrospective analysis conducted at a high-volume community hospital aimed to evaluate adherence to ERAS protocols and analyze postoperative outcomes following colorectal surgery. A total of 278 adult patients undergoing elective colorectal surgery between January 2022 and January 2024 were included. Data analysis revealed time to first mobilization proved to be satisfactory in accordance with ERAS hospital guidelines (mean 1.0 ± 0.05 days, range 0.1–13.8 days), and furthermore demonstrated a strong positive correlation with both time to first bowel function (r = 0.69, p < 0.0001) and length of stay (r = 0.25, p < 0.0001). Time to urinary catheter removal occurred slightly after guideline-directed removal (mean 1.1 ± 0.05 days, range 0.5–12.9 days), however did exhibit a significant positive correlation with length of stay (r = 0.33, p < 0.0001). 10.9 % of patients experienced a postoperative complication, while the average length of stay across all procedures was 3.1 ± 0.17 days (range 0.9–23.3 days), and the overall 30-day readmission rate stood at 10.43 %. This study underscores the need for ongoing evaluation and refinement of ERAS protocols in community hospital settings to enhance surgical care and patient satisfaction.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"239 ","pages":"Article 116022"},"PeriodicalIF":2.7000,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002961024005749","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Despite widespread adoption, the efficacy of Enhanced Recovery After Surgery (ERAS) protocols in community hospital settings remains understudied. This retrospective analysis conducted at a high-volume community hospital aimed to evaluate adherence to ERAS protocols and analyze postoperative outcomes following colorectal surgery. A total of 278 adult patients undergoing elective colorectal surgery between January 2022 and January 2024 were included. Data analysis revealed time to first mobilization proved to be satisfactory in accordance with ERAS hospital guidelines (mean 1.0 ± 0.05 days, range 0.1–13.8 days), and furthermore demonstrated a strong positive correlation with both time to first bowel function (r = 0.69, p < 0.0001) and length of stay (r = 0.25, p < 0.0001). Time to urinary catheter removal occurred slightly after guideline-directed removal (mean 1.1 ± 0.05 days, range 0.5–12.9 days), however did exhibit a significant positive correlation with length of stay (r = 0.33, p < 0.0001). 10.9 % of patients experienced a postoperative complication, while the average length of stay across all procedures was 3.1 ± 0.17 days (range 0.9–23.3 days), and the overall 30-day readmission rate stood at 10.43 %. This study underscores the need for ongoing evaluation and refinement of ERAS protocols in community hospital settings to enhance surgical care and patient satisfaction.

查看原文本刊更多论文

一家社区医院结直肠大手术后ERAS方案遵守情况和术后效果分析。

尽管 "术后恢复强化方案"（ERAS）已被广泛采用，但其在社区医院环境中的疗效仍未得到充分研究。这项回顾性分析在一家高流量社区医院进行，旨在评估ERAS方案的遵守情况，并分析结直肠手术的术后效果。共纳入了 2022 年 1 月至 2024 年 1 月间接受择期结直肠手术的 278 名成人患者。数据分析显示，根据ERAS医院指南，患者首次活动时间令人满意（平均为1.0±0.05天，范围为0.1-13.8天），并且与首次排便功能时间呈强正相关（r = 0.69，p＜0.05）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.