Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study.

Details

Ressource 1Download: bmjopen-2016-011067.pdf (662.08 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_9D1226BDA6A9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study.
Journal
BMJ open
Author(s)
Romain B., Grass F., Addor V., Demartines N., Hübner M.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Publication state
Published
Issued date
07/10/2016
Peer-reviewed
Oui
Volume
6
Number
10
Pages
e011067
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: epublish
Abstract
To compare the enhanced recovery after surgery (ERAS) protocol compliance and clinical outcomes depending on the weekday of surgery.
Cohort of consecutive non-selected patients undergoing elective colorectal surgery from January 2012 to March 2015. This retrospective analysis of our prospective database compared patients operated early in the week (Monday and Tuesday) with patients operated in the second half (late: Thursday, Friday).
Compliance with the ERAS protocol, functional recovery, complications and length of stay.
Demographic and surgical details were similar between the early (n=352) and late groups (n=204). Overall compliance with the ERAS protocol was 78% vs 76% for the early and late groups, respectively (p=0.009). Significant differences were notably prolonged urinary drainage and intravenous fluid infusion in the late group. Complication rates and length of stay, however, were not different between surgery on Monday or Tuesday and surgery on Thursday or Friday.
Application of the ERAS protocol showed only minor differences for patients operated on early or late during the week, and clinical outcomes were similar. A fully implemented ERAS programme appears to work also over the weekend.

Keywords
Aged, Clinical Protocols, Cohort Studies, Colorectal Neoplasms/surgery, Colorectal Surgery/methods, Delivery of Health Care, Digestive System Surgical Procedures, Elective Surgical Procedures, Female, Guideline Adherence, Humans, Intestine, Large/surgery, Length of Stay, Male, Middle Aged, Perioperative Care/methods, Postoperative Complications, Prospective Studies, Recovery of Function, Retrospective Studies, ERAS, complications, enhanced recovery, weekdays
Pubmed
Web of science
Open Access
Yes
Create date
06/12/2016 17:38
Last modification date
20/08/2019 15:03
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