Role of protocol-guided perioperative care to enhance recovery after head and neck neoplasm surgery: An institutional experience.

Govil, N; Tripathi, M; Parag, K; Agrawal, S P; Kumar, M; Varshney, S

Govil, N; Tripathi, M; Parag, K; Agrawal, S P; Kumar, M; Varshney, S.

Afiliación

Govil N; Department of Anaesthesiology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, India. Electronic address: nishithgovil@rediffmail.com.
Tripathi M; Institute of Medical Sciences Mangalagiri, Mangalagiri, India.
Parag K; Department of Anaesthesiology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, India.
Agrawal SP; Department of Otorhinolaryngology-Head & Neck Surgery, AIIMS Rishikesh, Rishikesh, India.
Kumar M; Department of Anaesthesiology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, India.
Varshney S; Department of Anaesthesiology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, India.

Rev Esp Anestesiol Reanim (Engl Ed) ; 70(9): 491-500, 2023 11.

Article en En | MEDLINE | ID: mdl-37678465

RESUMEN

BACKGROUND: Enhanced recovery after surgery (ERAS) improve recovery after surgery. This study aimed to determine whether ERAS leads to a decrease in stay in the hospital and improves global and functional recovery after head and neck neoplasms surgery. METHODS: We performed a prospective case and historical control study after the ERAS application. The hospital database selected 50 confirmed eligible patients in control non-ERAS group. Prospectively 54 patients were included in the ERAS group. The primary outcome was time to readiness for discharge (TRD); secondary outcomes were the length of stay (LOS), readmission rate of up to 30 days and Quality of recovery score QoR-15. Data were compared with appropriate parametric and nonparametric tests. RESULTS: Baseline demographic data of patients were comparable between the two groups. Patients in ERAS group had significantly shorter TRD compared to the non-ERAS group 8 (6-10) vs 11 (8-16); p-valueâ¯=â¯0.002. LOS was also significantly shorter in the ERAS group compared to the non-ERAS group [8 (7-11) vs 12 (9-17); p-valueâ¯=â¯0.002]. Readmission at 30-days was no different, with six patients in each group. QoR-15 score was statistically better in ERAS group (94.88â¯±â¯12.50) compared to non-ERAS group (85.44â¯±â¯12.68) [p valueâ¯<â¯0.001]. CONCLUSION: Implementing the ERAS programme decreased TRD and LOS and improved patient-reported recovery outcome QoR-15 in head and neck neoplasms surgery.

Asunto(s)

Recuperación Mejorada Después de la Cirugía; Neoplasias de Cabeza y Cuello; Humanos; Estudios Retrospectivos; Atención Perioperativa; Tiempo de Internación; Neoplasias de Cabeza y Cuello/cirugía

Palabras clave

Cirugía de cáncer de cabeza y cuello; Duración de la estancia; Enhanced recovery after surgery; Head and neck cancer surgery; Length of stay; Mejora de la recuperación tras la cirugía; Perioperative care; Puntuación de calidad de la recuperación QoR-15; Quality of recovery 15 score; Tiempo hasta la disposición para el alta; Time to readiness for discharge

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recuperación Mejorada Después de la Cirugía / Neoplasias de Cabeza y Cuello Límite: Humans Idioma: En Revista: Rev Esp Anestesiol Reanim (Engl Ed) Año: 2023 Tipo del documento: Article Pais de publicación: España

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