Key result
Care in an Enhanced Recovery After Surgery (ERAS) center was associated with fewer moderate to severe postoperative complications compared with traditional care (25.2% vs 30.3%; OR 0.77; P=0.01).
Why the study?
ERAS care has been reported to improve outcomes after colorectal surgery compared with traditional care, but its association with outcomes required further evaluation.
Does ERAS protocol adherence reduce moderate to severe postoperative complications in adults undergoing elective colorectal surgery?
Population
2084 consecutive adults scheduled for elective colorectal surgery across 80 Spanish centers
Comparison
Care in a self-declared ERAS center vs non-ERAS institutions
Design
Multicenter prospective cohort study
Follow-up
1 month
Authors
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ERAS center care was associated with fewer complications after colorectal surgery; hypothesis-generating and requires randomized confirmation before practice change.
Cohort (n=2,084)
Yes
Does ERAS protocol adherence reduce moderate to severe postoperative complications in adults undergoing elective colorectal surgery?
Odds Ratio: 0.77 (95% CI 0.63–0.94)
Absolute Event Rate: 25.2% vs 30.3%
p-value: p=.01
Higher adherence to ERAS protocols in elective colorectal surgery is associated with a significant reduction in moderate to severe postoperative complications.
Ripollés‐Melchor et al. (2019) conducted a cohort in Elective colorectal surgery (n=2,084). Enhanced Recovery After Surgery (ERAS) protocol vs. Traditional care (non-ERAS) was evaluated on Moderate to severe postoperative complications within 30 days after surgery (OR 0.77, 95% CI 0.63-0.94, p=.01). Care in an Enhanced Recovery After Surgery (ERAS) center was associated with fewer moderate to severe postoperative complications compared with traditional care (25.2% vs 30.3%; OR 0.77; P=0.01).
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