Key result
Enhanced Recovery After Surgery (ERAS) protocols significantly reduced postoperative complications (13.8% vs 24%) and improved overall postoperative outcomes (OR 0.52) compared to standard care in patients undergoing elective abdominal surgery.
Why the study?
The study was conducted to determine the effectiveness of enhanced recovery after surgery (ERAS) protocols in improving postoperative outcomes and reducing hospital readmission rates in patients undergoing abdominal surgery.
Do enhanced recovery after surgery (ERAS) protocols improve postoperative outcomes and reduce hospital readmission rates in patients undergoing elective abdominal surgery?
RCT (n=650)
Randomly allocated
No
Do enhanced recovery after surgery (ERAS) protocols improve postoperative outcomes and reduce hospital readmission rates in patients undergoing elective abdominal surgery?
Odds Ratio: 0.52 (95% CI 0.35–0.78)
Absolute Event Rate: 13.8% vs 24%
p-value: p=0.001
ERAS protocols significantly improve postoperative recovery metrics and reduce 30-day readmission rates in patients undergoing elective abdominal surgery.
ERAS protocols linked to fewer readmissions and faster recovery after abdominal surgery; leaves open confirmation in randomized trials.
Objectives: The main objective of the study is to determine the effectiveness of enhanced recovery after surgery (ERAS) protocols in improving postoperative outcomes and reducing hospital readmission rates in patients undergoing abdominal surgery. Materials and Methods: This study involves a total of 650 patients who were divided into two groups: the intervention group, which received care according to ERAS protocols, and the control group, which received standard postoperative care. Patients aged >18 years and scheduled for elective abdominal surgery were included in the study. Results: The mean age of patients in ERAS group were 56.4 ± 12.3 years, while in the standard care group 57.1 ± 11.8 years. Out of 650 patients, there were 339 male and 311 female. Patients were selected from different surgery departments. The ERAS group had lower 30-day readmission rates (6.2% vs. 15.4%), quicker mobilization (12.5 vs. 24.8 hours), and faster resumption of oral intake (8.6 vs. 18.2 hours). Pain levels were lower (VAS 3.1 vs. 5.8), and patient satisfaction was higher (89% vs. 74%) in the ERAS group, with all differences being statistically significant. Conclusion: It is concluded that ERAS protocols significantly improve postoperative outcomes, including reducing complications, shortening hospital stays, and lowering readmission rates for patients undergoing elective abdominal surgery.
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Shah et al. (2024) conducted an RCT in Elective abdominal surgery (n=650). Enhanced Recovery After Surgery (ERAS) protocols vs. Standard postoperative care was evaluated on Postoperative complications (OR 0.52, 95% CI 0.35-0.78, p=0.001). Enhanced Recovery After Surgery (ERAS) protocols significantly reduced postoperative complications (13.8% vs 24%) and improved overall postoperative outcomes (OR 0.52) compared to standard care in patients undergoing elective abdominal surgery.
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