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The Enhanced Recovery Programme for stoma patients: an audit.
1Salisbury NHS Foundation Trust.
British Journal of Nursing (Mark Allen Publishing)
|July 8, 2010
Summary
Implementing an enhanced recovery programme (ERP) significantly reduced hospital stays for colonic surgery patients. This multimodal approach also decreased the time to stoma independence, improving patient outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Patient Care
- Enhanced Recovery Programmes
Background:
- Enhanced Recovery Programmes (ERP) are multimodal approaches to surgical care.
- Traditionally, post-operative care dominated patient recovery.
- Pre-operative patient education and preparation are crucial for ERP success.
Purpose of the Study:
- To evaluate the impact of an enhanced recovery programme on elective colonic surgery patients with a stoma.
- To assess the effect of ERP on length of hospital stay and stoma independence.
- To compare pre- and post-implementation outcomes of the ERP.
Main Methods:
- Retrospective audit of 20 patients before ERP implementation.
- Retrospective audit of 20 patients after ERP implementation.
- Analysis of mean length of stay and time to stoma independence.
Main Results:
- Mean length of stay reduced from 20 to 7 days.
- 60% of patients were discharged at 5 days or less post-ERP.
- Mean time to stoma independence decreased from 12 to 5 days.
Conclusions:
- Enhanced Recovery Programmes significantly shorten hospital stays for colonic surgery patients.
- ERP facilitates earlier stoma independence.
- Pre-operative patient preparation is key to successful ERP outcomes.
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