Key result
ERAS interventions for vascular surgery primarily target pre- and intraoperative phases, leaving significant preadmission gaps.
Why the study?
Vascular surgery patients have unique requirements, and it is unclear which enhanced recovery after surgery (ERAS) interventions are supported by an evidence base.
What is the evidence base for enhanced recovery after surgery (ERAS) interventions in vascular surgery patients?
Systematic Review
What is the evidence base for enhanced recovery after surgery (ERAS) interventions in vascular surgery patients?
The evidence base for ERAS in vascular surgery is growing but lacks consistent reporting of key outcomes and research on preadmission interventions.
Supports cautious ERAS use in vascular surgery; leaves open the need for preadmission RCTs and standardized mortality reporting.
BACKGROUND: Enhanced recovery after surgery (ERAS) interventions aim to improve patient outcomes. Vascular surgery patients have unique requirements and it is unclear which ERAS interventions are supported by an evidence base. METHODS: We conducted a scoping review to identify ERAS randomized controlled trials (RCTs) published in the biomedical or nursing literature. We assessed interventions for applicability to vascular surgery and differentiated interventions given at preadmission, preoperative, intraoperative, and postoperative surgery stages. We documented the research in an evidence map. RESULTS: We identified 76 relevant RCTs. Interventions were mostly administered in preoperative (23 RCTs; 30%) or intraoperative surgery stages (35 RCTs; 46%). The majority of studies reported mortality outcomes (44 RCTs; 58%), but hospital (27 RCTs; 35%) and intensive care unit (9 RCTs; 12%) length of stay outcomes were less consistently described. CONCLUSION: The ERAS evidence base is growing but contains gaps. Research on preadmission interventions and more consistent reporting of key outcomes is needed.
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Apaydin et al. (2023) conducted a systematic review in Vascular surgery. Enhanced recovery after surgery (ERAS) interventions vs. Standard care was evaluated on Reporting of mortality and length of stay outcomes by surgical stage. A scoping review of 79 randomized controlled trials found that ERAS interventions for vascular surgery are primarily administered pre- or intraoperatively, with significant gaps in preadmission research.
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