Key result
Implementation of an ERAS pathway for complete primary repair of bladder exstrophy resulted in no intensive care unit use (n=4) after final pathway implementation.
Why the study?
Complete primary repair of bladder exstrophy historically involved intensive care unit recovery and extended length of stay, and whether an ERAS pathway would reduce length of stay was investigated.
Does an ERAS pathway decrease length of stay and intensive care unit use in children undergoing complete primary repair of bladder exstrophy?
Cohort
No
Does an ERAS pathway decrease length of stay and intensive care unit use in children undergoing complete primary repair of bladder exstrophy?
p-value: p=<.001
Implementing an ERAS pathway for complete primary repair of bladder exstrophy in children is feasible and associated with reduced ICU use without increasing readmissions.
Supports ERAS feasibility in rare pediatric urologic repair; leaves open confirmation in larger randomized trials.
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Balthazar et al. (2023) conducted a cohort in Bladder exstrophy. ERAS (enhanced recovery after surgery) pathway vs. Pre-ERAS historical cohort (2013-2020) was evaluated on Intensive care unit use, emergency department visits, and readmissions (p=<.001). Implementation of an ERAS pathway for complete primary repair of bladder exstrophy resulted in no intensive care unit use (n=4) after final pathway implementation.
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