Programa ERAS® num hospital Português

Detalhes bibliográficos
Autor(a) principal: Carrão, André
Data de Publicação: 2020
Outros Autores: Ribeiro, Daniel, Manso, Maria, Oliveira, Joana, Féria, Luís, Ghira, Miguel, Maio, Rui
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/106593
Resumo: Introduction: The Enhanced Recovery After Surgery® program comprises the implementation of various perioperative measures that reduce surgical stress and ultimately improve patient recovery and outcome. The purpose of this study is to evaluate the first-year compliance and clinical outcomes after implementation of the Enhanced Recovery After Surgery® program in elective colorectal surgery in our hospital. Material and Methods: An analysis was performed on the 210 patients who underwent elective colorectal surgery from May 2016 to December 2017. The group of patients that underwent surgery after the protocol implementation (Enhanced Recovery After Surgery® group) was compared to a conventional care control group (pre- Enhanced Recovery After Surgery® group). Differences between the two groups were adjusted using Propensity Score matching. The main outcomes were length of stay, return of bowel function, complications and mortality. The evolution of compliance with Enhanced Recovery After Surgery® principles was also analyzed. Results: After propensity score matching, 112 patients were included in the present study: 56 patients formed the pre-Enhanced Recovery After Surgery® group and 56 the Enhanced Recovery After Surgery® group. The overall adherence to the protocol increased from 35.7% to 80.8%. There was a decrease in length of stay, time to return of bowel function and medical complications. Discussion: The Enhanced Recovery After Surgery® program is safe and seems to shorten length of stay and improve patient recovery and clinical outcome. Conclusion: This study showed that the implementation of the Enhanced Recovery After Surgery® program was possible in Hospital Beatriz Ângelo, with a positive impact in the immediate postoperative recovery of colorectal patients.
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spelling Programa ERAS® num hospital PortuguêsERAS® program in a Portuguese hospitalResults from elective colorectal surgery after one year of implementationResultados na cirurgia colorretal eletiva um ano após a sua implementaçãoColon/surgeryDigestive System Surgical ProceduresElective Surgical ProceduresPerioperative CarePortugalRectum/surgeryMedicine(all)Introduction: The Enhanced Recovery After Surgery® program comprises the implementation of various perioperative measures that reduce surgical stress and ultimately improve patient recovery and outcome. The purpose of this study is to evaluate the first-year compliance and clinical outcomes after implementation of the Enhanced Recovery After Surgery® program in elective colorectal surgery in our hospital. Material and Methods: An analysis was performed on the 210 patients who underwent elective colorectal surgery from May 2016 to December 2017. The group of patients that underwent surgery after the protocol implementation (Enhanced Recovery After Surgery® group) was compared to a conventional care control group (pre- Enhanced Recovery After Surgery® group). Differences between the two groups were adjusted using Propensity Score matching. The main outcomes were length of stay, return of bowel function, complications and mortality. The evolution of compliance with Enhanced Recovery After Surgery® principles was also analyzed. Results: After propensity score matching, 112 patients were included in the present study: 56 patients formed the pre-Enhanced Recovery After Surgery® group and 56 the Enhanced Recovery After Surgery® group. The overall adherence to the protocol increased from 35.7% to 80.8%. There was a decrease in length of stay, time to return of bowel function and medical complications. Discussion: The Enhanced Recovery After Surgery® program is safe and seems to shorten length of stay and improve patient recovery and clinical outcome. Conclusion: This study showed that the implementation of the Enhanced Recovery After Surgery® program was possible in Hospital Beatriz Ângelo, with a positive impact in the immediate postoperative recovery of colorectal patients.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNCarrão, AndréRibeiro, DanielManso, MariaOliveira, JoanaFéria, LuísGhira, MiguelMaio, Rui2020-11-03T23:59:13Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/106593por0870-399XPURE: 19929347https://doi.org/10.20344/AMP.11158info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:51:28Zoai:run.unl.pt:10362/106593Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:40:44.656643Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Programa ERAS® num hospital Português
ERAS® program in a Portuguese hospitalResults from elective colorectal surgery after one year of implementation
Resultados na cirurgia colorretal eletiva um ano após a sua implementação
title Programa ERAS® num hospital Português
spellingShingle Programa ERAS® num hospital Português
Carrão, André
Colon/surgery
Digestive System Surgical Procedures
Elective Surgical Procedures
Perioperative Care
Portugal
Rectum/surgery
Medicine(all)
title_short Programa ERAS® num hospital Português
title_full Programa ERAS® num hospital Português
title_fullStr Programa ERAS® num hospital Português
title_full_unstemmed Programa ERAS® num hospital Português
title_sort Programa ERAS® num hospital Português
author Carrão, André
author_facet Carrão, André
Ribeiro, Daniel
Manso, Maria
Oliveira, Joana
Féria, Luís
Ghira, Miguel
Maio, Rui
author_role author
author2 Ribeiro, Daniel
Manso, Maria
Oliveira, Joana
Féria, Luís
Ghira, Miguel
Maio, Rui
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Carrão, André
Ribeiro, Daniel
Manso, Maria
Oliveira, Joana
Féria, Luís
Ghira, Miguel
Maio, Rui
dc.subject.por.fl_str_mv Colon/surgery
Digestive System Surgical Procedures
Elective Surgical Procedures
Perioperative Care
Portugal
Rectum/surgery
Medicine(all)
topic Colon/surgery
Digestive System Surgical Procedures
Elective Surgical Procedures
Perioperative Care
Portugal
Rectum/surgery
Medicine(all)
description Introduction: The Enhanced Recovery After Surgery® program comprises the implementation of various perioperative measures that reduce surgical stress and ultimately improve patient recovery and outcome. The purpose of this study is to evaluate the first-year compliance and clinical outcomes after implementation of the Enhanced Recovery After Surgery® program in elective colorectal surgery in our hospital. Material and Methods: An analysis was performed on the 210 patients who underwent elective colorectal surgery from May 2016 to December 2017. The group of patients that underwent surgery after the protocol implementation (Enhanced Recovery After Surgery® group) was compared to a conventional care control group (pre- Enhanced Recovery After Surgery® group). Differences between the two groups were adjusted using Propensity Score matching. The main outcomes were length of stay, return of bowel function, complications and mortality. The evolution of compliance with Enhanced Recovery After Surgery® principles was also analyzed. Results: After propensity score matching, 112 patients were included in the present study: 56 patients formed the pre-Enhanced Recovery After Surgery® group and 56 the Enhanced Recovery After Surgery® group. The overall adherence to the protocol increased from 35.7% to 80.8%. There was a decrease in length of stay, time to return of bowel function and medical complications. Discussion: The Enhanced Recovery After Surgery® program is safe and seems to shorten length of stay and improve patient recovery and clinical outcome. Conclusion: This study showed that the implementation of the Enhanced Recovery After Surgery® program was possible in Hospital Beatriz Ângelo, with a positive impact in the immediate postoperative recovery of colorectal patients.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-03T23:59:13Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/106593
url http://hdl.handle.net/10362/106593
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv 0870-399X
PURE: 19929347
https://doi.org/10.20344/AMP.11158
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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