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

Catarina Lopes; Mariana Vaz Gomes; Manuel Rosete; Ana Almeida; Luisa Isabel Silva; José Guilherme Tralhão

doi:10.20344/amp.18284

Autores

Catarina Lopes Surgery Department. Centro Hospitalar e Universitário de Coimbra. Coimbra. Faculty of Medicine. University of Coimbra. Coimbra.
Mariana Vaz Gomes Centro Hospitalar Universitário Coimbra 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

Resumo

Introdução: Os benefícios do programa multimodal Enhanced Recovery After Surgery® (ERAS) têm sido descritos em todo o mundo. A adoção de várias estratégias peri-operatórias traduz-se numa melhoria dos cuidados de saúde prestados com ganhos para o doente e para a instituição. O objetivo deste estudo foi reportar os resultados da implementação do programa ERAS® na cirurgia colorretal num hospital terciário.
Material e Métodos: Neste estudo unicêntrico observacional foram incluídos 534 doentes submetidos a cirurgia colorretal entre dezembro 2018 e maio de 2021. Foram criados dois grupos: antes e depois da implementação do programa ERAS® com o objetivo primário de comparar a morbilidade aos 30 dias. Foi também avaliado o tempo de internamento, a taxa de reinternamento, reintervenção e a mortalidade entre os grupos.
Resultados: O grupo pré-ERAS era constituído por 102 doentes e o grupo ERAS por 432 doentes. Verificou-se uma redução significativa na morbilidade aos 30 dias (37,3% vs 26,5%, p < 0,05), no tempo de internamento (7 dias vs 5 dias, p < 0,001) e na taxa de readmissão (12,9% vs 6%, p < 0,05) após a implementação do programa.
Conclusão: O protocolo ERAS® na cirurgia colorretal foi implementado com sucesso e segurança no nosso hospital, contribuindo para uma melhoria dos cuidados peri-operatórios prestados aos doentes.

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