Autor: |
Constant Delabays, Nicolas Demartines, Gaëtan-Romain Joliat, Emmanuel Melloul |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
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Zdroj: |
Perioperative Medicine, Vol 13, Iss 1, Pp 1-12 (2024) |
Druh dokumentu: |
article |
ISSN: |
2047-0525 |
DOI: |
10.1186/s13741-024-00375-x |
Popis: |
Abstract Background Few studies have assessed enhanced recovery after surgery (ERAS) in liver surgery for cirrhotic patients. The present meta-analysis assessed the impact of ERAS pathways on outcomes after liver surgery in cirrhotic patients compared to standard care. Methods A literature search was performed on PubMed/MEDLINE, Embase, and the Cochrane Library. Studies comparing ERAS protocols versus standard care in cirrhotic patients undergoing liver surgery were included. The primary outcome was post-operative complications, while secondary outcomes were mortality rates, length of stay (LoS), readmissions, reoperations, and liver failure rates. Results After evaluating 41 full-text manuscripts, 5 articles totaling 646 patients were included (327 patients in the ERAS group and 319 in the non-ERAS group). Compared to non-ERAS care, ERAS patients had less risk of developing overall complications (OR 0.43, 95% CI 0.31–0.61, p |
Databáze: |
Directory of Open Access Journals |
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