Short-term outcome following postoperative enhanced recovery implementation in patients with perforated peptic ulcer.

IF 2.8 3区医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL

European Journal of Medical Research Pub Date : 2025-04-04 DOI:10.1186/s40001-025-02432-7

Amna A Desoky, Mahmoud T Ayoub, Neama M Mostafa, Eman M Hashem, Mona A Mohammed

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引用次数: 0

Abstract

Objectives: To evaluate the short-term outcome following postoperative enhanced recovery implementation in patients with perforated peptic ulcer.

Methods: Quasi-experimental research design was utilized. Thirty patients received postoperative enhanced recovery after open surgical repair of perforated peptic ulcer compared with control group who received routine care. Patient assessment sheet and gastrointestinal quality of life index were the tools used for data collection.

Results: The mean age was 40.43 ± 8.39 years for the study group and 39.53 ± 8.08 for the control group (56.7%, 70%), respectively, were males. The study group demonstrated early first bowel movement, flatus and stool passage (8.1 ± 1.16 (h), 12.6 ± 2.46 (h), and 2.47 ± 0.82 (days)), respectively, compared to control group (10 ± 1.11, 15.1 ± 2.04, and 3.57 ± 0.82). A significant reduction (6.93 ± 1.29 vs. 12.3 ± 4.96 (days)) and (30% vs. 60%) in hospital length of stay and postoperative complications among study group compared to control group (P < 0.01). The mean scores (56.17 ± 13.78 and 72.6 ± 11.89 vs. 34.33 ± 8.91and 53.43 ± 16.14) of gastrointestinal quality of life index were significantly better in study group (P < 0.05).

Conclusion: Improved gastrointestinal functional recovery, reduced postoperative complications, and improved quality of life, all were a result of implementing postoperative enhanced recovery among patients with perforated peptic ulcer. Trial Registration Number (TRN) -URL: https://www.

Clinicaltrials: gov . Unique identifier: NCT06570018 Date of registration July August 22, 2024.

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消化性溃疡穿孔患者术后加强恢复后的短期疗效。

目的：评价消化性溃疡穿孔患者术后加强恢复的短期效果。方法：采用准实验研究设计。30例患者在开放性消化性溃疡修补术后较常规治疗组恢复明显增强。数据收集工具为患者评估表和胃肠生活质量指数。结果：研究组平均年龄40.43±8.39岁，对照组平均年龄39.53±8.08岁，分别占56.7%和70%。研究组出现首次排便、胀气和大便通过(分别为8.1±1.16 （h)、12.6±2.46 （h)和2.47±0.82（天）），对照组为10±1.11、15.1±2.04和3.57±0.82）。与对照组相比，研究组住院时间和术后并发症显著减少（6.93±1.29对12.3±4.96（天））（30%对60%）(P结论：改善胃肠道功能恢复，减少术后并发症，改善生活质量，所有这些都是术后增强消化性溃疡患者恢复的结果。试验注册号(TRN) -URL: https://www.Clinicaltrials: gov。唯一标识符：NCT06570018注册日期2024年7月8月22日。

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来源期刊

European Journal of Medical Research 医学-医学：研究与实验

CiteScore

3.20

自引率

0.00%

发文量

247

审稿时长

>12 weeks

期刊介绍： European Journal of Medical Research publishes translational and clinical research of international interest across all medical disciplines, enabling clinicians and other researchers to learn about developments and innovations within these disciplines and across the boundaries between disciplines. The journal publishes high quality research and reviews and aims to ensure that the results of all well-conducted research are published, regardless of their outcome.