Effects of "Enhanced Recovery After Surgery" Protocol on Outcome of Surgical Patients.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Abstract:
      Objective: To provide evidence that application of Enhanced Recovery after Surgery Protocol can promote rapid recovery of surgical patients in addition to reduction of duration of hospital stay. Study Design: Quasi-experimental study. Place and Duration of Study: Sheikh Khalifa Bin Zayad Alnayan Hospital, Rawalakot Azad Kashmir Pakistan, from Jan 2019 to Jun 2020. Methodology: Respondents included 210 surgical patients from discipline of Otorhinolaryngology, General Surgery, Urology, Gynecology and Obstetrics. Patients were randomly divided into two equal groups by odd and even numbers. Group-A included 105 surgical patients who were managed by conventional protocol. Group-B included 105 surgical patients who were managed by Enhanced Recovery after Surgery Protocol. Results: Enhanced Recovery after Surgery Group (Group-B) was found to have shorter preoperative fasting time (146.4±0.47 vs 633.6±1.55 minutes, p<0.001), reduced postoperative fasting time (139.2±0.41 vs 360±0.09 minutes, p<0.001), less use of intravenous fluid (870±0.5 vs 2480ml, p<0.001) and reduced hospital stay (52.8±0.91 vs 80.16±1.17 hours, p<0.001) as compared to Traditional Group. Compared to traditional group (Group-A), the number of highly satisfied patients were more in Group-B (n-95 or 90.48% vs n-42 or 40%, p-value<0.001). No significant difference was noted in post-operative vomiting, surgical wound infection and rate of re-admission among both groups. Conclusion: There is a significant reduction in duration of hospital stay and swift recovery after surgery, leading to reductions in treatment cost and resource utilization. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Pakistan Armed Forces Medical Journal is the property of Knowledge Bylanes and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)