دورية أكاديمية
Implementation of an ERAS program in patients undergoing thoracic surgery at a third-level university hospital: an ambispective cohort study.
| العنوان: | Implementation of an ERAS program in patients undergoing thoracic surgery at a third-level university hospital: an ambispective cohort study. |
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| المؤلفون: | Bellas-Cot Ín S; Hospital Universitario Fundaci..n Jim..nez D.¡az, Department of Anaesthesiology, Madrid, Spain. Electronic address: soledad.bellas@quironsalud.es., Casans-Franc S RN; Hospital Universitario Infanta Elena, Department of Anaesthesiology, Valdemoro, Madrid, Spain., Ib Í Ez C; Hospital Universitario Fundaci..n Jim..nez D.¡az, Department of Anaesthesiology, Madrid, Spain., Muguruza I; Hospital Universitario Fundaci..n Jim..nez D.¡az, Department of Thoracic Surgery, Madrid, Spain., Mu Oz-Alameda LE; Hospital Universitario Fundaci..n Jim..nez D.¡az, Department of Anaesthesiology, Madrid, Spain. |
| المصدر: | Brazilian journal of anesthesiology (Elsevier) [Braz J Anesthesiol] 2023 Jan-Feb; Vol. 73 (1), pp. 16-24. Date of Electronic Publication: 2021 Apr 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Editora Ltda Country of Publication: Brazil NLM ID: 101624623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-2291 (Electronic) Linking ISSN: 01040014 NLM ISO Abbreviation: Braz J Anesthesiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio de Janeiro : Elsevier Editora Ltda, 2013- |
| مواضيع طبية MeSH: | Postoperative Complications*/epidemiology , Postoperative Complications*/prevention & control , Postoperative Complications*/etiology , Thoracic Surgery*, Humans ; Cohort Studies ; Retrospective Studies ; Prospective Studies ; Hospitals ; Length of Stay |
| مستخلص: | Objective: To analyze the effects of an ERAS program on complication rates, readmission, and length of stay in patients undergoing pulmonary resection in a tertiary university hospital. Methods: Ambispective cohort study with a prospective arm of 50 patients undergoing thoracic surgery within an ERAS program (ERAS group) versus a retrospective arm of 50 patients undergoing surgery before the protocol was implemented (Standard group). The primary outcome was the number of patients with 30-day surgical complications. Secondary outcomes included ERAS adherence, non-surgical complications, mortality, readmission, reintervention rate, pain, and hospital length of stay. We performed a multivariate logistic analysis to study the correlation between outcomes and ERAS adherence. Results: In the univariate analysis, we found no difference between the two groups in terms of surgical complications (Standard 18 [36%] vs. ERAS 12 [24%], p=0.19). In the ERAS group, only the readmission rate was significantly lower (Standard 15 [30%] vs. ERAS 6 [12%], p=0.03). In the multivariate analysis, ERAS adherence was the only factor associated with a reduction in surgical complications (OR [95% CI]=0.02 [0.00, 0.59], p=0.03) and length of stay (HR [95% CI]=18.5 [4.39, 78.4], p<0.001). Conclusions: The ERAS program significantly reduced the readmission rate at our hospital. Adherence to the ERAS protocol reduced surgical complications and length of stay. (Copyright © 2021. Published by Elsevier Editora Ltda.) |
| فهرسة مساهمة: | Keywords: Enhanced recovery after surgery; Fast-track rehabilitation; VATS |
| تواريخ الأحداث: | Date Created: 20210430 Date Completed: 20230131 Latest Revision: 20230301 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9801216 |
| DOI: | 10.1016/j.bjane.2021.04.014 |
| PMID: | 33930342 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2352-2291 |
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| DOI: | 10.1016/j.bjane.2021.04.014 |