Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection
| Autor: | M. F. M. van Stijn, A. M. F. Lopes Cardozo, Hamit Cakir, B. L. A. M. Langenhorst, T. J. van der Ploeg, Willem A. Bemelman, A. P. J. Houdijk, W. H. Schreurs |
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| Přispěvatelé: | AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Endocrinology, AII - Amsterdam institute for Infection and Immunity, Anesthesiology, Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty Multivariate analysis Colorectal cancer medicine.medical_treatment Malignancy Colon surgery Humans Medicine Enhanced recovery after surgery Colectomy Aged Retrospective Studies Aged 80 and over Postoperative Care Analysis of Variance business.industry Colonic resection Gastroenterology Multimodal therapy Recovery of Function Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome Colonic Neoplasms Patient Compliance Regression Analysis Female business Program Evaluation |
| Zdroj: | Colorectal disease, 15(8), 1019-1025. Wiley-Blackwell |
| ISSN: | 1462-8910 |
| Popis: | Aim The Enhanced Recovery After Surgery (ERAS) programme is a multimodal approach to improve peri-operative care in colon surgery. The aim of this study was to report on the adherence to and outcomes of ERAS in the first years after implementation. Method Data of patients undergoing elective colon resections for malignancy in 2006 until 2010 were compared with patients receiving conventional care in 2005. Retrospective analysis was performed including length of stay (LOS), protocol adherence and complications. The predictive values of ERAS items and baseline characteristics on LOS and complications were analysed using univariate and multivariate analysis. Results Length of stay (LOS) was significantly shorter in 2006 and 2007 (P ≤ 0.009 and P ≤ 0.004) but not in 2008 and 2009. The mean adherence rate to the ERAS items was 84.1% in 2006 and 2007 and 72.4% in 2008 and 2009 (P |
| Databáze: | OpenAIRE |
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