Key result
Enhanced recovery protocols reduced hospital stay by 1.5 days among older adults undergoing colorectal surgery and by 5 days for upper abdominal surgery, without detriment to other clinical outcomes.
Why the study?
Older adults are at elevated risk of adverse events in hospital that potentially increases with longer stays, and hospital-led organisational strategies may optimise hospital stay for elective older adult inpatients.
Do hospital-led multicomponent interventions reduce length of stay in older adults undergoing elective hospital admissions?
Population
26,365 elective inpatients with a mean or median age of ≥ 60 years across 73 effectiveness studies
Comparison
Hospital-led multicomponent interventions vs comparative controls
Design
Systematic review and meta-analysis
Authors
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Supports implementing enhanced recovery protocols for elective older surgical patients; extends evidence on multicomponent interventions reducing length of stay.
Systematic Review (n=26,365)
Do hospital-led multicomponent interventions reduce length of stay in older adults undergoing elective hospital admissions?
Standardized Mean Difference: -0.51 (95% CI -0.78–-0.24)
p-value: p=<0.001
Enhanced recovery and prehabilitation interventions are associated with reduced hospital stay without detriment to other clinical outcomes for older adults undergoing elective surgery.
Nunns et al. (2019) conducted a systematic review in Elective surgery (n=26,365). Enhanced recovery protocols and prehabilitation vs. Usual care was evaluated on Length of hospital stay (colorectal surgery) (Cohen's d -0.51, 95% CI -0.78 to -0.24, p=<0.001). Enhanced recovery protocols reduced hospital stay by 1.5 days among older adults undergoing colorectal surgery and by 5 days for upper abdominal surgery, without detriment to other clinical outcomes.
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