在一个单一的大容量外科肿瘤单元中提高手术后的恢复:细节问题

Surgery Research and Practice Pub Date : 2016-08-25 DOI:10.1155/2016/6830260

T. Fitzgerald, C. Mosquera, N. Koutlas, N. Vohra, Kimberly V Edwards, E. Zervos

{"title":"在一个单一的大容量外科肿瘤单元中提高手术后的恢复:细节问题","authors":"T. Fitzgerald, C. Mosquera, N. Koutlas, N. Vohra, Kimberly V Edwards, E. Zervos","doi":"10.1155/2016/6830260","DOIUrl":null,"url":null,"abstract":"Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality.","PeriodicalId":30584,"journal":{"name":"Surgery Research and Practice","volume":"57 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2016-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"9","resultStr":"{\"title\":\"Enhanced Recovery after Surgery in a Single High-Volume Surgical Oncology Unit: Details Matter\",\"authors\":\"T. Fitzgerald, C. Mosquera, N. Koutlas, N. Vohra, Kimberly V Edwards, E. Zervos\",\"doi\":\"10.1155/2016/6830260\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality.\",\"PeriodicalId\":30584,\"journal\":{\"name\":\"Surgery Research and Practice\",\"volume\":\"57 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"9\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgery Research and Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2016/6830260\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Research and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2016/6830260","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 9

摘要

ERAS方案的好处已得到充分证明;然而，目前尚不清楚这种改善是源于协议还是期望的转变。为所有保健专业人员举办了跨学科教育研讨会。然而，一位试验外科医生采用了该方案。本研究纳入2013年6月至2015年4月期间接受择期腹部手术的394例患者，中位年龄为63岁。ERAS方案的实施使住院时间(LOS)和死亡率降低，而费用差异不显著。对于试验外科医生，ERAS与降低LOS、成本和死亡率相关。对于对照组，实施ERAS前后的LOS、成本、死亡率、再入院率和并发症保持相似。单个大容量手术单元的ERAS方案降低了成本、LOS和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Enhanced Recovery after Surgery in a Single High-Volume Surgical Oncology Unit: Details Matter

Benefits of ERAS protocol have been well documented; however, it is unclear whether the improvement stems from the protocol or shifts in expectations. Interdisciplinary educational seminars were conducted for all health professionals. However, one test surgeon adopted the protocol. 394 patients undergoing elective abdominal surgery from June 2013 to April 2015 with a median age of 63 years were included. The implementation of ERAS protocol resulted in a decrease in the length of stay (LOS) and mortality, whereas the difference in cost was found to be insignificant. For the test surgeon, ERAS was associated with decreased LOS, cost, and mortality. For the control providers, the LOS, cost, mortality, readmission rates, and complications remained similar both before and after the implementation of ERAS. An ERAS protocol on the single high-volume surgical unit decreased the cost, LOS, and mortality.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Surgery Research and Practice

自引率

0.00%

发文量

期刊介绍： Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.