Enhanced Recovery Protocol Enhances Postdischarge Recovery After Laparoscopic Sacrocolpopexy.

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Female Pelvic Medicine and Reconstructive Surgery Pub Date : 2021-11-01 DOI:10.1097/SPV.0000000000001042

Christine Pan, Douglass Hale, Michael Heit

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引用次数: 5

Abstract

Objective: The objective of this study is to determine if an ERAS (enhanced recovery after surgery) protocol enhanced the patient-perceived postdischarge recovery after laparoscopic sacrocolpopexy.

Methods: In this prospective cohort study, patients exposed to an ERAS protocol completed a preoperative survey that included established predictors of postdischarge recovery. Postoperatively, they completed the validated Postdischarge Surgical Recovery 13 (PSR-13) scale at 7, 14, and 42 days. A historical cohort of non-ERAS patients who completed similar surveys were included for comparisons. Characteristics between the 2 cohorts were analyzed using the χ2 test, Student t tests, and Mann-Whitney U tests where appropriate. A mixed-design analysis of variance model was constructed to determine if our ERAS protocol affected recovery as measured by the PSR-13 scale.

Results: Eighty-nine ERAS patients were compared with 169 non-ERAS controls. There were no differences in established predictors of recovery between the groups. Length of hospital stay was shorter in the ERAS cohort (33±13.1 hours vs 44.2±25.9 hours; mean difference, 11.2; 95% confidence interval [CI], 6.44-16.0). Postdischarge recovery significantly improved with time (7 days: 52.7; 95% CI, 50.1-55.2; 14 days: 63.4; 95% CI, 60.9-65.8; 42 days: 80.1, 95% CI, 78.1-82.1). The ERAS cohort reported greater postdischarge recovery than the non-ERAS cohort (as measured by the PSR-13 scale) at postoperative days 7, 14, and 42 days (68.4 vs 62.3; mean difference, 6.1; 95% CI, 2.04-10.16).

Conclusions: Enhanced recovery after surgery protocols reduce length of hospital stay and enhance patient-perceived postdischarge recovery.

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增强恢复方案提高腹腔镜骶骶固定术后出院后的恢复。

目的:本研究的目的是确定ERAS(术后增强恢复)方案是否增强了腹腔镜骶髋固定术后患者的出院后恢复。方法:在这项前瞻性队列研究中，暴露于ERAS方案的患者完成了术前调查，其中包括出院后恢复的既定预测因素。术后7、14和42天完成有效的出院后手术恢复13 (PSR-13)量表。完成类似调查的非eras患者的历史队列被纳入比较。使用χ2检验、学生t检验和Mann-Whitney U检验分析两个队列之间的特征。构建了混合设计方差分析模型，以确定我们的ERAS方案是否影响PSR-13量表测量的恢复。结果:89例ERAS患者与169例非ERAS对照。两组之间在恢复的既定预测指标上没有差异。ERAS组的住院时间较短(33±13.1小时vs 44.2±25.9小时);平均差值为11.2;95%置信区间[CI]， 6.44-16.0)。出院后恢复随时间延长而显著提高(7天:52.7;95% ci, 50.1-55.2;14天:63.4;95% ci, 60.9-65.8;42天:80.1,95% CI, 78.1-82.1)。ERAS组在术后第7天、14天和42天(68.4 vs 62.3;平均差6.1;95% ci, 2.04-10.16)。结论:增强术后恢复方案可缩短住院时间，增强患者出院后恢复的感觉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Female Pelvic Medicine and Reconstructive Surgery OBSTETRICS & GYNECOLOGY-

CiteScore

2.10

自引率

12.50%

发文量

228

期刊介绍： Female Pelvic Medicine & Reconstructive Surgery, official journal of the American Urogynecologic Society, is a peer-reviewed, multidisciplinary journal dedicated to specialists, physicians and allied health professionals concerned with prevention, diagnosis and treatment of female pelvic floor disorders. The journal publishes original clinical research, basic science research, education, scientific advances, case reports, scientific reviews, editorials and letters to the editor.