Ali Alassiri, Afaf AlTayeb, Hawazin Alqahtani, Lama Alyahya, Raghad AlKhashan, Waad Almutairi, Mohammed Alshawa, Saleh Al-Nassar, Zakaria Habib, Saud AlShanafey
{"title":"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。","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":"{\"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}","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}
Implementation of Enhanced Recovery After Surgery protocols for gastrostomy tube insertion in patients younger than 14 years of age: a retrospective cohort study.
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.
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.
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