Implementation of Enhanced Recovery After Surgery protocols for gastrostomy tube insertion in patients younger than 14 years of age: a retrospective cohort study.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Saudi Medicine Pub Date : 2023-07-01 Epub Date: 2023-08-03 DOI:10.5144/0256-4947.2023.227
Ali Alassiri, Afaf AlTayeb, Hawazin Alqahtani, Lama Alyahya, Raghad AlKhashan, Waad Almutairi, Mohammed Alshawa, Saleh Al-Nassar, Zakaria Habib, Saud AlShanafey
{"title":"Implementation of Enhanced Recovery After Surgery protocols for gastrostomy tube insertion in patients younger than 14 years of age: a retrospective cohort study.","authors":"Ali Alassiri, Afaf AlTayeb, Hawazin Alqahtani, Lama Alyahya, Raghad AlKhashan, Waad Almutairi, Mohammed Alshawa, Saleh Al-Nassar, Zakaria Habib, Saud AlShanafey","doi":"10.5144/0256-4947.2023.227","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Enhanced recovery after surgery (ERAS) protocols have improved treatment outcomes and have standardized patient care.</p><p><strong>Objectives: </strong>Identify the benefit of introducing the ERAS protocol for feeding after gastrostomy insertion with or without Nissen fundoplication, the effects on the time of reaching the full feeds the length of stay single-center experience, and complications associated with early feeding protocols.</p><p><strong>Design: </strong>Retrospective cohort study SETTING: Tertiary hospital METHODS: The study review included cases performed between 2015 and 2021 by four surgeons, and cases performed in 2022 by all surgeons using ERAS feeding protocol (P) in a tertiary hospital.</p><p><strong>Main outcome measures: </strong>Comparison the mean and mode of the length of stay (LOS) and the time until the patient reached full feed (TFF).</p><p><strong>Sample size: </strong>224 patients; 181 by the four surgeons and 43 cases by the ERAS protocol group.</p><p><strong>Results: </strong>The difference in the ERAS protocol from the four surgeons in TFF and LOS was statistically significant (<i>P</i><.001). There was no noticeable difference in postoperative complications after introducing the ERAS protocol.</p><p><strong>Conclusion: </strong>ERAS improved the TFF and decreased the LOS without any increase in procedure complications. Increasing bed utilization and reducing costs were two benefits of reducing LOS at our hospital.</p><p><strong>Limitations: </strong>Single-center study, which may not be generalizable. Multiple comorbidities. Travel time from different parts of the country could impact LOS. Retrospective and thus dependent on the accuracy of the information in file notes.</p><p><strong>Conflict of interest: </strong>None.</p>","PeriodicalId":8016,"journal":{"name":"Annals of Saudi Medicine","volume":"43 4","pages":"227-235"},"PeriodicalIF":1.5000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10716837/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Saudi Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5144/0256-4947.2023.227","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Enhanced recovery after surgery (ERAS) protocols have improved treatment outcomes and have standardized patient care.

Objectives: Identify the benefit of introducing the ERAS protocol for feeding after gastrostomy insertion with or without Nissen fundoplication, the effects on the time of reaching the full feeds the length of stay single-center experience, and complications associated with early feeding protocols.

Design: Retrospective cohort study SETTING: Tertiary hospital METHODS: The study review included cases performed between 2015 and 2021 by four surgeons, and cases performed in 2022 by all surgeons using ERAS feeding protocol (P) in a tertiary hospital.

Main outcome measures: Comparison the mean and mode of the length of stay (LOS) and the time until the patient reached full feed (TFF).

Sample size: 224 patients; 181 by the four surgeons and 43 cases by the ERAS protocol group.

Results: The difference in the ERAS protocol from the four surgeons in TFF and LOS was statistically significant (P<.001). There was no noticeable difference in postoperative complications after introducing the ERAS protocol.

Conclusion: ERAS improved the TFF and decreased the LOS without any increase in procedure complications. Increasing bed utilization and reducing costs were two benefits of reducing LOS at our hospital.

Limitations: Single-center study, which may not be generalizable. Multiple comorbidities. Travel time from different parts of the country could impact LOS. Retrospective and thus dependent on the accuracy of the information in file notes.

Conflict of interest: None.

在年龄小于14岁的患者中实施胃造瘘管插入术后增强恢复方案:一项回顾性队列研究。
背景:强化术后恢复(ERAS)方案改善了治疗结果,并使患者护理标准化。目的:确定采用ERAS方案进行胃造瘘术后进食的益处,无论是否采用Nissen胃底折叠术,对达到完全进食时间的影响,单中心停留时间的经验,以及与早期进食方案相关的并发症。设计:回顾性队列研究设置:三级医院方法:研究综述包括2015年至2021年间由四名外科医生进行的病例,以及2022年由三级医院所有外科医生使用ERAS喂养方案(P)进行的病例。主要结果指标:比较住院时间(LOS)的平均值和模式以及患者达到完全进食(TFF)的时间。样本量:224名患者;181例,ERAS方案组43例。结果:ERAS方案与四名外科医生在TFF和LOS方面的差异具有统计学意义(结论:ERAS在不增加手术并发症的情况下改善了TFF并降低了服务水平。增加床位利用率和降低成本是降低我们医院服务水平的两个好处。局限性:单中心研究,可能无法推广。多种合并症。来自全国不同地区的旅行时间可能会影响服务水平文件注释中信息的准确性。利益冲突:无。
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
Annals of Saudi Medicine
Annals of Saudi Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
44
审稿时长
4-8 weeks
期刊介绍: The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信