ERAS failure and major complications in elective colon surgery: Common risk factors

Rasilainen, Suvi; Tuukka, Tiainen; Matti, Pakarinen; Bumblyte, Vilma; Scheinin, Tom; Alexey, Schramko

doi:10.1016/j.sipas.2022.100080

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…The study by Rasilainen and colleagues showed a mean ERAS adherence rate of 67%. Adherence above 70% has been significantly associated with lower complication rates and shorter hospital stays and was set as a threshold for more detailed analyses [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Initial Results of the Enhanced Recovery After Surgery (ERAS) Program in Patients Undergoing Lobectomy in the Treatment of Lung Cancer: An Experience From the University Medical Center Ho Chi Minh City

Tat Bang,

Thanh Vy,

Tap

2024

Cureus

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Background: Lobectomy is a standard surgical method in the treatment of early stages of non-small cell lung cancer (NSCLC). The enhanced recovery after surgery (ERAS) program aims to reduce the postoperative length of hospital stay (PLOS) in major surgeries. This study evaluated the impact of the ERAS program on PLOS and identified related factors in patients undergoing lobectomy for NSCLC. Methods: This prospective observational study was conducted at the University Medical Center Ho Chi Minh City, Vietnam, from February 2022 to December 2023. We included patients diagnosed with NSCLC scheduled for lobectomy. The ERAS protocol was applied according to guidelines from the ERAS Society and the French Society of Anaesthesia and Intensive Care Medicine. We collected data on patient demographics, surgical details, adherence to the ERAS protocol, and postoperative outcomes, including the PLOS. Results: Among the 98 patients enrolled, the median PLOS after ERAS intervention was 4.1 days (interquartile range: 3.7 to 5.2 days). Adherence to ERAS protocols significantly correlated with reduced PLOS (p<0.001). Notably, smoking status was identified as a related factor of PLOS (p=0.002). Complications (p<0.001), surgical method (p=0.007), operation time (p<0.001), duration of postanesthesia care unit (p=0.006), duration of thoracic drainage (p<0.001), and urinary catheter retention time (p=0.023) were also associated with PLOS variations. Conclusion: Implementing the ERAS program in patients undergoing lobectomy for NSCLC at our center reduced PLOS and highlighted the importance of protocol adherence for optimizing surgical outcomes. These findings supported the broader adoption of ERAS protocols in thoracic surgery to enhance patient recovery. Future research should focus on multi-center studies to generalize these results and further dissect the impact of individual ERAS components.

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Section: Discussionmentioning

confidence: 99%

Initial Results of the Enhanced Recovery After Surgery (ERAS) Program in Patients Undergoing Lobectomy in the Treatment of Lung Cancer: An Experience From the University Medical Center Ho Chi Minh City

Tat Bang,

Thanh Vy,

Tap

2024

Cureus

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“…ERAS is a well-established multidisciplinary surgical protocol consisting of preoperative, intraoperative, and postoperative strategies 8 , 9 . Despite these benefits, several studies assessing ERAS application reported a higher rate of complications and readmissions, which can disadvantage patients and health facilities 11 – 13 . In a previous Indonesian study, the reported compliance of ERAS protocol among patients with colorectal surgery was 67%, significantly reducing the postoperative length of stay by up to 5 days 14 .…”

Section: Introductionmentioning

confidence: 99%

The enhanced recovery after surgery (ERAS) protocol implementation in a national tertiary-level hospital: a prospective cohort study

Mazni,

Syaiful,

Ibrahim

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Successful colorectal surgery is determined based on postoperative mortality and morbidity rates, complication rates, and cost-effectiveness. One of the methods to obtain an excellent postoperative outcome is the Enhanced Recovery After Surgery (ERAS) protocol. This study aims to see the effects of implementing an ERAS protocol in colorectal surgery patients. Methods: Eighty-four patients who underwent elective colorectal surgery at National Tertiary-level Hospital were included between January 2021 and July 2022. Patients were then placed into ERAS (42) and control groups (42) according to the criteria. The Patients in the ERAS group underwent a customized 18-component ERAS protocol and were assessed for adherence. Postoperatively, both groups were monitored for up to 30 days and assessed for complications and readmission. We then analyzed the length of stay and total patient costs in both groups. Results: The length of stay in the ERAS group was shorter than the control group (median [interquartile range/IQR]) 6[5-7] vs. 13[11-19], P<0.001), with a lower total cost of (USD 1,875 [1,234 – 3,722] vs. USD 3,063 [2,251 – 4,907], P<0.001). Patients in the ERAS group had a lower incidence of complications, 10% vs. 21%, and readmission 5% vs. 10%, within 30 days after discharge than patients in the control group; however, the differences were not statistically significant. The adherence to the ERAS protocol within the ERAS group was 97%. Conclusion: Implementing the ERAS protocol in colorectal patients reduces the length of stay and total costs.

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Risk factors for mortality and end-colostomy in patients with sigmoid volvulus managed by sigmoid resection

ADEN,

KIVELÄ,

TAIPALE

et al. 2023

Chirurgia

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ERAS failure and major complications in elective colon surgery: Common risk factors

Cited by 3 publications

References 39 publications

Initial Results of the Enhanced Recovery After Surgery (ERAS) Program in Patients Undergoing Lobectomy in the Treatment of Lung Cancer: An Experience From the University Medical Center Ho Chi Minh City

Initial Results of the Enhanced Recovery After Surgery (ERAS) Program in Patients Undergoing Lobectomy in the Treatment of Lung Cancer: An Experience From the University Medical Center Ho Chi Minh City

The enhanced recovery after surgery (ERAS) protocol implementation in a national tertiary-level hospital: a prospective cohort study

Risk factors for mortality and end-colostomy in patients with sigmoid volvulus managed by sigmoid resection

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