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Background: The ERAS (enhanced recovery after surgery) care has been shown to improve outcome after colorectal surgery compared to traditional care. Audit of process compliance and patient outcomes are important features to assess the impact of a predefined protocol. We did a study to determine the influence of the ERAS protocols in patients undergoing elective colorectal surgery Methods: We did a multicenter, prospective cohort study at 80 Spanish hospitals. We recruited adults scheduled for elective colorectal surgery and deemed to have an ERAS protocol. 22 individual ERAS items were assessed in all included patients. The primary outcome was moderate to severe postoperative complications within 30 days after surgery. Secondary outcomes included ERAS compliance, readmissions, reinterventions, length of stay and mortality. Findings: Between September 15, 2017, and December 15, 2017, 2084 patients were included. 879 (42·1%) presented postoperative complications; 566 (27·1%) presented moderate-severe complications. The number of patients with moderate or severe complication was lower in the ERAS group, 25·2% vs. 30·3%, p=0·011, but not in terms of overall complications, readmission, reintervention or mortality rate. The overall compliance rate with the ERAS protocol was 63·6% [54·5%-77·3%], with the rate for patients declared as ERAS being 72·7% [59·1%-81·8%] vs Non-ERAS 59·1% [50%-63·6%], p |
