The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284 |
Resumo: | Introduction: The benefits of the multimodal Enhanced Recovery After Surgery® (ERAS) program have been described all over the world. The adoption of several perioperative strategies translates into an improvement in the quality of the healthcare provided. The aim of this study was to report the results of the implementation of the ERAS® program for colorectal surgery in a tertiary hospital.Material and Methods: In this single-center observational study, 534 patients who underwent colorectal surgery between December 2018 and May 2021 were included. Two groups were considered: before and after the implementation of the ERAS® program. The primary outcome measure was 30-day morbidity. The length of hospital stay, readmission rate, reintervention and mortality among the two groups were also evaluated.Results: The pre-ERAS group included 102 patients and the ERAS group included 432 patients. There was a statistically significant reduction in morbidity at 30 days (37.3% vs 26.5%, p < 0.05), length of stay (7 days vs 5 days, p < 0.001) and readmission rate (12.9% vs 6%, p < 0.05) after the implementation of the ERAS program.Conclusion: The ERAS® protocol for colorectal surgery was successfully and safely implemented in our hospital, contributing to an improvement in perioperative care provided to patients. |
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The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary HospitalImpacto da Aplicação do Programa ERAS na Cirurgia Colorrectal de um Centro Hospitalar TerciárioIntroduction: The benefits of the multimodal Enhanced Recovery After Surgery® (ERAS) program have been described all over the world. The adoption of several perioperative strategies translates into an improvement in the quality of the healthcare provided. The aim of this study was to report the results of the implementation of the ERAS® program for colorectal surgery in a tertiary hospital.Material and Methods: In this single-center observational study, 534 patients who underwent colorectal surgery between December 2018 and May 2021 were included. Two groups were considered: before and after the implementation of the ERAS® program. The primary outcome measure was 30-day morbidity. The length of hospital stay, readmission rate, reintervention and mortality among the two groups were also evaluated.Results: The pre-ERAS group included 102 patients and the ERAS group included 432 patients. There was a statistically significant reduction in morbidity at 30 days (37.3% vs 26.5%, p < 0.05), length of stay (7 days vs 5 days, p < 0.001) and readmission rate (12.9% vs 6%, p < 0.05) after the implementation of the ERAS program.Conclusion: The ERAS® protocol for colorectal surgery was successfully and safely implemented in our hospital, contributing to an improvement in perioperative care provided to patients. Introdução: Os benefícios do programa multimodal Enhanced Recovery After Surgery® (ERAS) têm sido descritos em todo o mundo. A adoção de várias estratégias peri-operatórias traduz-se numa melhoria dos cuidados de saúde prestados com ganhos para o doente e para a instituição. O objetivo deste estudo foi reportar os resultados da implementação do programa ERAS® na cirurgia colorretal num hospital terciário.Material e Métodos: Neste estudo unicêntrico observacional foram incluídos 534 doentes submetidos a cirurgia colorretal entre dezembro 2018 e maio de 2021. Foram criados dois grupos: antes e depois da implementação do programa ERAS® com o objetivo primário de comparar a morbilidade aos 30 dias. Foi também avaliado o tempo de internamento, a taxa de reinternamento, reintervenção e a mortalidade entre os grupos.Resultados: O grupo pré-ERAS era constituído por 102 doentes e o grupo ERAS por 432 doentes. Verificou-se uma redução significativa na morbilidade aos 30 dias (37,3% vs 26,5%, p < 0,05), no tempo de internamento (7 dias vs 5 dias, p < 0,001) e na taxa de readmissão (12,9% vs 6%, p < 0,05) após a implementação do programa.Conclusão: O protocolo ERAS® na cirurgia colorretal foi implementado com sucesso e segurança no nosso hospital, contribuindo para uma melhoria dos cuidados peri-operatórios prestados aos doentes.Ordem dos Médicos2022-10-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284Acta Médica Portuguesa; Vol. 36 No. 4 (2023): April; 254-263Acta Médica Portuguesa; Vol. 36 N.º 4 (2023): Abril; 254-2631646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284/14957Direitos de Autor (c) 2022 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessLopes, CatarinaVaz Gomes, MarianaRosete, ManuelAlmeida, AnaSilva, Luisa IsabelTralhão, José Guilherme2023-04-09T03:00:45Zoai:ojs.www.actamedicaportuguesa.com:article/18284Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:21:02.383859Repositório 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 |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital Impacto da Aplicação do Programa ERAS na Cirurgia Colorrectal de um Centro Hospitalar Terciário |
title |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital |
spellingShingle |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital Lopes, Catarina |
title_short |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital |
title_full |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital |
title_fullStr |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital |
title_full_unstemmed |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital |
title_sort |
The Impact of the Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery in a Portuguese Tertiary Hospital |
author |
Lopes, Catarina |
author_facet |
Lopes, Catarina Vaz Gomes, Mariana Rosete, Manuel Almeida, Ana Silva, Luisa Isabel Tralhão, José Guilherme |
author_role |
author |
author2 |
Vaz Gomes, Mariana Rosete, Manuel Almeida, Ana Silva, Luisa Isabel Tralhão, José Guilherme |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lopes, Catarina Vaz Gomes, Mariana Rosete, Manuel Almeida, Ana Silva, Luisa Isabel Tralhão, José Guilherme |
description |
Introduction: The benefits of the multimodal Enhanced Recovery After Surgery® (ERAS) program have been described all over the world. The adoption of several perioperative strategies translates into an improvement in the quality of the healthcare provided. The aim of this study was to report the results of the implementation of the ERAS® program for colorectal surgery in a tertiary hospital.Material and Methods: In this single-center observational study, 534 patients who underwent colorectal surgery between December 2018 and May 2021 were included. Two groups were considered: before and after the implementation of the ERAS® program. The primary outcome measure was 30-day morbidity. The length of hospital stay, readmission rate, reintervention and mortality among the two groups were also evaluated.Results: The pre-ERAS group included 102 patients and the ERAS group included 432 patients. There was a statistically significant reduction in morbidity at 30 days (37.3% vs 26.5%, p < 0.05), length of stay (7 days vs 5 days, p < 0.001) and readmission rate (12.9% vs 6%, p < 0.05) after the implementation of the ERAS program.Conclusion: The ERAS® protocol for colorectal surgery was successfully and safely implemented in our hospital, contributing to an improvement in perioperative care provided to patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-04 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/18284/14957 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2022 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2022 Acta Médica Portuguesa |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 36 No. 4 (2023): April; 254-263 Acta Médica Portuguesa; Vol. 36 N.º 4 (2023): Abril; 254-263 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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