RESULTS OF THE IMPLEMENTATION OF A MULTIMODAL REHABILITATION SYSTEM IN ELECTIVE COLORECTAL SURGERY IN OUR CENTER
| Autor: | R M Fresnedo Pérez, A C Carrocera Cabal, J Albaladejo Magdalena, A Rodríguez Morala, E Pérez Prudencio, M Álvarez Rodríguez, A Arango Bravo, J C Fernández Fernández |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | British Journal of Surgery. 108 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1093/bjs/znab160.008 |
| Popis: | INTRODUCTION The results obtained from the establishment of a multimodal rehabilitation program in elective colorectal surgery by a multidisciplinary team at our center are presented. Protocols are carried out to achieve optimization of perioperative care and the analysis of the rates of complications and morbidity and mortality. MATERIAL AND METHODS Through a retrospective study, a control group of patients who underwent elective colorectal surgery prior to the implantation of the rehabilitation program, included during a period from May and October 2018, with a total of 68 patients, were compared with the group of optimized patients, who were operated between December 2018 and June 2019, with a total of 80 patients. RESULTS The readmission rate 30 days after discharge between the two groups is analyzed, showing a decrease in the multimodal rehabilitation group, with a readmission rate of 5.9%, compared to the control group, which was 8.8%. A decrease was observed in both surgical complications (35.3%) and medical complications (22.1%) in the multimodal rehabilitation group compared to the control group. A decrease in the mortality rate is observed in the multimodal rehabilitation group, being 1.5% with respect to the control group, which was 2.9%. CONCLUSIONS The multimodal rehabilitation system is a feasible and safe method that requires the implementation of protocols that must be carried out by a multidisciplinary team, and that presents satisfactory results with improved morbidity and mortality. |
| Databáze: | OpenAIRE |
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