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Investigation of the enhanced recovery after surgery protocol outcome on post colectomy patients
Sharon D Baoas1, Toni Beninato1, Michael Zenilman1
1Department of Surgery, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
Background:
An enhanced recovery after surgery (ERAS) protocol was implemented to improve quality and cost effectiveness of surgical care in elective colorectal procedures.
Methods:
A retrospective study was conducted from July 2017 to June 2018. The ERAS protocol was initiated on 9 July 2018 and retrospectively reviewed in July 2019 by chart review, the American College of Surgeons National Surgical Quality Improvement Project database and risk stratification using Clavien-Dindo classification for all elective colorectal procedures.
Results:
A total of 109 patients, 55 (pre-ERAS) and 54 (post-ERAS) are included in the final analysis. There were no differences in complications were recorded (p = 0.37) and 30-day readmissions (p = 0.785). The mean hospital stay was 5.89 ± 2.62 days in pre-ERAS and 4.94 ± 2.27 days in post-ERAS group which was statistically significant (p = 0.047).
Conclusions:
An ERAS protocol for colorectal surgery harmonised perioperative care and decreased length of stay.
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