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Fast-track Protocol versus Conventional Protocol on Patient Outcome: A Randomized Clinical Trial
Sandhya P Iyer1, Zeeshan Kareem1
1Department of General Surgery, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India.
Summary
Fast-track perioperative care significantly reduces hospital stay after elective surgery. This enhanced recovery pathway improves patient outcomes by enabling earlier feeding and ambulation, leading to timely discharge.
Area of Science:
- Surgical Care and Patient Outcomes
- Enhanced Recovery After Surgery (ERAS) Protocols
Background:
- Traditional surgical care often involves prolonged recovery periods and hospital stays.
- Identifying factors influencing delayed hospital discharge is crucial for optimizing patient flow.
Purpose of the Study:
- To compare the efficacy of fast-track methodology versus traditional surgical care.
- To evaluate patient outcomes, focusing on timely hospital discharge.
- To identify key factors contributing to delayed postoperative discharge.
Main Methods:
- A randomized controlled trial involving 100 patients undergoing elective surgery.
- Patients were allocated to either a fast-track protocol (early oral feeding, early discharge encouragement) or traditional care.
- Key metrics recorded included gastrointestinal function, postoperative complications, and duration of hospital stay.
Main Results:
- Fast-track patients demonstrated statistically significant improvements in early oral feeding tolerance and earlier ambulation.
- The fast-track group experienced a significantly shorter hospital stay compared to the traditional care group.
- Inadequate postoperative pain relief was the primary reason for delayed discharge in both groups.
Conclusions:
- The fast-track protocol (FTP) offers a significant reduction in postoperative hospital stay following elective surgery.
- FTP is a viable alternative to traditional care, enhancing patient recovery and hospital efficiency.
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