Key result
The Enhanced Recovery After Surgery (ERAS) program significantly reduced the mean postoperative length of hospital stay to 7.33 days compared to 8.2 days with conventional care (p=0.012), without increasing morbidity.
Why the study?
There is limited adoption and a paucity of research on the ERAS program in the Indian scenario despite extensive literature in the Western world.
Does the ERAS program reduce postoperative length of hospital stay and morbidity in patients undergoing planned intestinal surgery?
Observational (n=100)
No
Does the ERAS program reduce postoperative length of hospital stay and morbidity in patients undergoing planned intestinal surgery?
Absolute Event Rate: 7.33% vs 8.2%
p-value: p=0.012
May support ERAS in Indian intestinal surgery; hypothesis-generating and leaves open need for confirmatory RCTs.
Background There is limited adoption and paucity of research on ERAS in the Indian scenario despite plethora of literature in the western world. Therefore, this study aimed to determine the efficacy of the ERAS program in Indian population. Methods This prospective study involves 100 patients undergoing planned intestinal surgery, implementing ERAS program in 46 and traditional care in 54 patients. Primary outcomes were postoperative length of hospital stay and morbidity. Secondary outcomes were reinsertion of nasogastric tubes and urinary catheters, postoperative opioid consumption, time to first bowel sounds/flatus/stools, and factors jeopardizing the success of ERAS. Results ERAS without affecting the morbidity, decreases the median postoperative length of stay. Reinsertion was not affected post early removal of nasogastric tubes and urinary catheters. Although, opioid consumption significantly decreased from 51.85–19.57%. Male gender and hypertensive patients were independent predictors of ERAS failure. Conclusion ERAS has significantly benefitted postoperative outcomes with improved quality of patient care and therefore, can be adopted across the health system.
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Aggarwal et al. (2023) conducted an observational in Planned intestinal surgery (n=100). Enhanced Recovery After Surgery (ERAS) program vs. Conventional perioperative care was evaluated on Postoperative length of hospital stay (days) (p=0.012). The Enhanced Recovery After Surgery (ERAS) program significantly reduced the mean postoperative length of hospital stay to 7.33 days compared to 8.2 days with conventional care (p=0.012), without increasing morbidity.
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