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Implementing a structured Enhanced Recovery After Surgery (ERAS) protocol reduces length of stay after abdominal hysterectomy

Wijk, Lena ; Franzen, Karin ; Ljungqvist, Olle ; Nilsson, Kerstin

Acta obstetricia et gynecologica Scandinavica, 2014-08, Vol.93 (8), p.749-756 [Periódico revisado por pares]

United States: Blackwell Publishing Ltd

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Título:
Implementing a structured Enhanced Recovery After Surgery (ERAS) protocol reduces length of stay after abdominal hysterectomy
Autor: Wijk, Lena ; Franzen, Karin ; Ljungqvist, Olle ; Nilsson, Kerstin
Assuntos: Adult ; Aged ; Aged, 80 and over ; Clinical Protocols ; Fast track ; Female ; Humans ; Hysterectomy ; length of stay ; Length of Stay - statistics & numerical data ; Medicin och hälsovetenskap ; Middle Aged ; Obstetrics and Gynaecology ; Obstetrik och gynekologi ; Outcome and Process Assessment (Health Care) ; Patient Readmission - statistics & numerical data ; perioperative care ; Perioperative Care - methods ; perioperative period ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention & control ; Prospective Studies ; Recovery of Function ; Reoperation - statistics & numerical data
É parte de: Acta obstetricia et gynecologica Scandinavica, 2014-08, Vol.93 (8), p.749-756
Notas: ArticleID:AOGS12423
ark:/67375/WNG-F32JBKVF-R
Research Committee of Örebro County Council
istex:5E7E462B5543FE05A1C9C09231FC1EF13AEA721C
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Undefined-1
ObjectType-Feature-3
content type line 23
Descrição: Objective To study the effects of introducing an Enhanced Recovery After Surgery (ERAS) protocol, modified for gynecological surgery, on length of stay and complications following abdominal hysterectomy. Design Observational study. Setting Department of Obstetrics and Gynecology, Örebro University Hospital, Sweden. Population Eighty‐five patients undergoing abdominal hysterectomy for benign or malignant indications between January and December 2012, with or without salpingo‐oophorectomy. Outcomes were compared with all consecutive patients who had undergone the same surgery from January to December 2011, immediately before establishing the ERAS protocol (n = 120). Methods The ERAS protocol was initiated in January 2012 as part of a targeted implementation program. Data were extracted from patient records and from a specific database. Main outcome measures Length of stay and the proportion of patients achieving target length of stay (2 days). Results Length of stay was significantly reduced in the study population after introducing the ERAS protocol from a mean of 2.6 (SD 1.1) days to a mean of 2.3 (SD 1.2) days (p = 0.011). The proportion of patients discharged at 2 days was significantly increased from 56% pre‐ERAS to 73% after ERAS (p = 0.012). No differences were found in complications (5% vs. 3.5% in primary stay, 12% vs. 15% within 30 days after discharge), reoperations (2% vs. 1%) or readmission (4% vs. 4%). Conclusions Introducing the ERAS protocol for abdominal hysterectomy reduced length of stay without increasing complications or readmissions.
Editor: United States: Blackwell Publishing Ltd
Idioma: Inglês;Francês;Alemão

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Implementing a structured Enhanced Recovery After Surgery (ERAS) protocol reduces length of stay after abdominal hysterectomy

Wijk, Lena ; Franzen, Karin ; Ljungqvist, Olle ; Nilsson, Kerstin

United States: Blackwell Publishing Ltd

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