Key result
Overall compliance with the pre-operative ERAS protocol among major surgery patients was 91%, though only 25% of patients achieved ≥90% compliance across all elements.
Why the study?
Implementation of the ERAS protocol can optimize post-surgical outcomes and reduce patient and hospital burdens, prompting this evaluation of ERAS compliance and consistency pre-operatively.
Observational (n=36)
No
Overall compliance with the pre-operative ERAS protocol in major surgeries at a single Indonesian center was 91%, though only 25% of patients achieved ≥90% compliance across all elements, highlighting areas for quality improvement.
Answers are grounded in this paper and cite their sources.
High aggregate but low full ERAS compliance signals implementation gaps; leaves open outcome benefits of complete adherence.
Introduction: The implementation of ERAS protocol can optimize patients after surgery, which in turn can reduce burdens both for patient and hospital. The purpose of this study is to describe the compliance and consistency of ERAS in the pre-operative period of surgery patients in Dr. Soetomo General Hospital Surabaya. Methods: We conducted consecutive observation of major surgical patients for 4 weeks. The type of surgery observed was digestive, thoracic and cardiovascular, and gynecological surgery. The pre-operative period will be calculated for compliance based on the ERAS international protocol. All data of compliance presented descriptively.s.Results: A total of 36 major surgery patients of which 7 (19,4%) were digestive surgeries, 14 (38,9%) were thoracic and cardiovascular surgeries, and 15 (41,7%) were gynecological surgeries. Overall compliance of the ERAS protocol in the pre-operative period of major surgery patients was 91%. The compliance of ERAS protocol in the pre-operative period of digestive surgery patients was 80%, in thoracic and cardiovascular surgery patients was 93,4% and gynecologic surgery patients was 84.3%. Major surgery patients with ≥90% compliance was 25%. Digestive surgery patients with ≥90% compliance was 0%. Thoracic and cardiovascular surgery patients with ≥90% compliance was 64,3%. Gynecologic surgery patients with ≥90% compliance was 0%.Conclusion: : Pre-operative elements of ERAS protocol in major surgery including digestive, thoracic and cardiovascular, and gynecologic surgery in Dr. Soetomo General Hospital, Surabaya needs to be improved.
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Rifa'i et al. (2020) conducted an observational in Major surgery (digestive, thoracic and cardiovascular, and gynecological) (n=36). Pre-Operative Enhanced Recovery After Surgery (ERAS) protocol was evaluated on Overall compliance of the ERAS protocol in the pre-operative period. Overall compliance with the pre-operative ERAS protocol among major surgery patients was 91%, though only 25% of patients achieved ≥90% compliance across all elements.
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