The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital

Authors

  • Catarina Lopes 1. Surgery Department. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal. 2. Faculty of Medicine. University of Coimbra. Coimbra. Portugal.
  • Mariana Vaz Gomes Anaesthesiology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal. https://orcid.org/0000-0001-6894-775X
  • Manuel Rosete Surgery Department. Centro Hospitalar e Universitário de Coimbra. Coimbra. Faculty of Medicine. University of Coimbra. Coimbra.
  • Ana Almeida Anaesthesiology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra.
  • Luisa Isabel Silva Anaesthesiology Department. Centro Hospitalar e Universitário de Coimbra. Coimbra. https://orcid.org/0000-0002-4574-819X
  • José Guilherme Tralhão Surgery Department. Centro Hospitalar e Universitário de Coimbra. Coimbra. Faculty of Medicine. University of Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research. Area of Environment Genetics and Oncobiology. Faculty of Medicine. University of Coimbra. Coimbra.

DOI:

https://doi.org/10.20344/amp.18284

Abstract

Introduction: The benefits of the multimodal Enhanced Recovery After Surgery® (ERAS) program have been described all over the world. The adoption of several perioperative strategies translates into an improvement in the quality of the healthcare provided. The aim of this study was to report the results of the implementation of the ERAS® program for colorectal surgery in a tertiary hospital.
Material and Methods: In this single-center observational study, 534 patients who underwent colorectal surgery between December 2018 and May 2021 were included. Two groups were considered: before and after the implementation of the ERAS® program. The primary outcome measure was 30-day morbidity. The length of hospital stay, readmission rate, reintervention and mortality among the two groups were also evaluated.
Results: The pre-ERAS group included 102 patients and the ERAS group included 432 patients. There was a statistically significant reduction in morbidity at 30 days (37.3% vs 26.5%, p < 0.05), length of stay (7 days vs 5 days, p < 0.001) and readmission rate (12.9% vs 6%, p < 0.05) after the implementation of the ERAS program.
Conclusion: The ERAS® protocol for colorectal surgery was successfully and safely implemented in our hospital, contributing to an improvement in perioperative care provided to patients.

 

 

 

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References

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Published

2022-10-04

How to Cite

1.
Lopes C, Vaz Gomes M, Rosete M, Almeida A, Silva LI, Tralhão JG. The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital. Acta Med Port [Internet]. 2022 Oct. 4 [cited 2024 Apr. 12];36(4):254-63. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/18284

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