Enhanced recovery after non-elective colorectal surgery: Is it time for emergency general surgeons to follow suit?
Am J Surg
; 238: 115835, 2024 Jul 16.
Article
en En
| MEDLINE
| ID: mdl-39059337
ABSTRACT
BACKGROUND:
Surgical dogma suggests that enhanced recovery (ERAS) pathways are not feasible in the non-elective setting. This study challenges that dogma with the implementation of ERAS in non-elective colorectal surgery.METHODS:
Single center review of all colorectal operations was performed following implementation of ERAS in non-elective colorectal surgery. Compliance and outcomes between elective and non-elective operations were compared.RESULTS:
142 elective and 116 non-elective operations were performed with a compliance rate of 84 â% and 46 â%, respectively. Acceptable compliance was achieved with 7 metrics in the non-elective cohort. Elective operations were associated with an average LOS of 3 days and a 1 â% SSI rate, compared to 8 days and 15 â% in the non-elective group. On multivariate analysis, five ERAS metrics were associated with SSI.CONCLUSIONS:
ERAS pathways are often neglected in non-elective surgery. Acute Care Surgeons should recognize the ERAS principles that are appropriate for their patient population and implement these strategies into practice.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Am J Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos