serval:BIB_9D1226BDA6A9
Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study.
10.1136/bmjopen-2016-011067
000391303200131
27855087
Romain
B.
author
Grass
F.
author
Addor
V.
author
Demartines
N.
author
Hübner
M.
author
article
2016-10-07
BMJ open
2044-6055
2044-6055
journal
6
10
e011067
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.
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
eng
60_published
true
peer-reviewed
Publication types: Comparative Study ; Journal Article
Publication Status: epublish
University of Lausanne
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