ERAS® Program in a Portuguese Hospital: Results from Elective Colorectal Surgery after One Year of Implementation

Authors

  • André Carrão Serviço de Anestesiologia. Hospital Beatriz Ângelo. Loures.
  • Daniel Ribeiro Serviço de Anestesiologia. Hospital Beatriz Ângelo. Loures.
  • Maria Manso Serviço de Anestesiologia. Hospital Beatriz Ângelo. Loures.
  • Joana Oliveira Serviço de Anestesiologia. Hospital Beatriz Ângelo. Loures.
  • Luís Féria Serviço de Cirurgia Geral. Hospital Beatriz Ângelo. Loures.
  • Miguel Ghira Serviço de Anestesiologia. Hospital Beatriz Ângelo. Loures.
  • Rui Maio Departamento de Cirurgia. Faculdade de Ciências Médicas. Universidade Nova de Lisboa. Lisboa. Serviço de Cirurgia Geral. Departamento de Cirurgia. Hospital Beatriz Ângelo. Loures.

DOI:

https://doi.org/10.20344/amp.11158

Keywords:

Colon/surgery, Digestive System Surgical Procedures, Elective Surgical Procedures, Perioperative Care, Portugal, Rectum/surgery

Abstract

Introduction: The Enhanced Recovery After Surgery® program comprises the implementation of various perioperative measures that reduce surgical stress and ultimately improve patient recovery and outcome. The purpose of this study is to evaluate the first-year compliance and clinical outcomes after implementation of the Enhanced Recovery After Surgery® program in elective colorectal surgery in our hospital.
Material and Methods: An analysis was performed on the 210 patients who underwent elective colorectal surgery from May 2016 to December 2017. The group of patients that underwent surgery after the protocol implementation (Enhanced Recovery After Surgery® group) was compared to a conventional care control group (pre- Enhanced Recovery After Surgery® group). Differences between the two groups were adjusted using Propensity Score matching. The main outcomes were length of stay, return of bowel function, complications and mortality. The evolution of compliance with Enhanced Recovery After Surgery® principles was also analyzed.
Results: After propensity score matching, 112 patients were included in the present study: 56 patients formed the pre-Enhanced Recovery After Surgery® group and 56 the Enhanced Recovery After Surgery® group. The overall adherence to the protocol increased from 35.7% to 80.8%. There was a decrease in length of stay, time to return of bowel function and medical complications.
Discussion: The Enhanced Recovery After Surgery® program is safe and seems to shorten length of stay and improve patient recovery and clinical outcome.
Conclusion: This study showed that the implementation of the Enhanced Recovery After Surgery® program was possible in Hospital Beatriz Ângelo, with a positive impact in the immediate postoperative recovery of colorectal patients.

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Published

2020-09-01

How to Cite

1.
Carrão A, Ribeiro D, Manso M, Oliveira J, Féria L, Ghira M, Maio R. ERAS® Program in a Portuguese Hospital: Results from Elective Colorectal Surgery after One Year of Implementation. Acta Med Port [Internet]. 2020 Sep. 1 [cited 2023 Feb. 6];33(9):568-75. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/11158

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Original