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Multivitamin Use in Enhanced Recovery After Surgery Protocols: A Cost Analysis
Dawn M G Rask1, Matthew R Puntel1, Jeanne C Patzkowski1
1San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA.
Adding oral multivitamins to Enhanced Recovery After Surgery (ERAS) protocols is a low-cost perioperative intervention. This supplementation represents a minimal fraction of the annual pharmacy budget, offering potential benefits for surgical outcomes.
Area of Science:
- Perioperative Medicine
- Nutritional Science
- Surgical Outcomes
Background:
- Enhanced Recovery After Surgery (ERAS) protocols improve patient recovery.
- Nutritional deficiencies can negatively impact surgical outcomes.
- Vitamins possess anti-inflammatory and wound-healing properties.
Purpose of the Study:
- To evaluate the cost-effectiveness of adding oral multivitamin supplementation to ERAS protocols.
- To determine the potential financial impact on the hospital pharmacy budget.
Main Methods:
- A cost analysis was performed for fiscal year 2018.
- Data on pharmacy budget and multivitamin costs were obtained.
- Calculated costs for various supplementation durations for orthopedic surgery patients.
Main Results:
- Multivitamin supplementation for orthopedic surgery patients ranged from $60 to $19,423 annually.
- This represents a minimal percentage (0.00005% to 1.575%) of the total pharmacy budget.
- Two oral multivitamins were available on formulary.
Conclusions:
- Perioperative multivitamin supplementation is a low-cost intervention.
- It may enhance ERAS protocols by addressing nutrient deficiencies.
- Further research is needed to confirm efficacy and optimal protocols.
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