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Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study
OBJECTIVE: To compare the enhanced recovery after surgery (ERAS) protocol compliance and clinical outcomes depending on the weekday of surgery. SETTINGS: Cohort of consecutive non-selected patients undergoing elective colorectal surgery from January 2012 to March 2015. This retrospective analysis of...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073485/ https://www.ncbi.nlm.nih.gov/pubmed/27855087 http://dx.doi.org/10.1136/bmjopen-2016-011067 |
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author | Romain, Benoît Grass, Fabian Addor, Valérie Demartines, Nicolas Hübner, Martin |
author_facet | Romain, Benoît Grass, Fabian Addor, Valérie Demartines, Nicolas Hübner, Martin |
author_sort | Romain, Benoît |
collection | PubMed |
description | OBJECTIVE: To compare the enhanced recovery after surgery (ERAS) protocol compliance and clinical outcomes depending on the weekday of surgery. SETTINGS: Cohort of consecutive non-selected patients undergoing elective colorectal surgery from January 2012 to March 2015. This retrospective analysis of our prospective database compared patients operated early in the week (Monday and Tuesday) with patients operated in the second half (late: Thursday, Friday). PRIMARY OUTCOME MEASURES: Compliance with the ERAS protocol, functional recovery, complications and length of stay. RESULTS: Demographic and surgical details were similar between the early (n=352) and late groups (n=204). Overall compliance with the ERAS protocol was 78% vs 76% for the early and late groups, respectively (p=0.009). Significant differences were notably prolonged urinary drainage and intravenous fluid infusion in the late group. Complication rates and length of stay, however, were not different between surgery on Monday or Tuesday and surgery on Thursday or Friday. CONCLUSIONS: Application of the ERAS protocol showed only minor differences for patients operated on early or late during the week, and clinical outcomes were similar. A fully implemented ERAS programme appears to work also over the weekend. |
format | Online Article Text |
id | pubmed-5073485 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-50734852016-11-07 Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study Romain, Benoît Grass, Fabian Addor, Valérie Demartines, Nicolas Hübner, Martin BMJ Open Surgery OBJECTIVE: To compare the enhanced recovery after surgery (ERAS) protocol compliance and clinical outcomes depending on the weekday of surgery. SETTINGS: Cohort of consecutive non-selected patients undergoing elective colorectal surgery from January 2012 to March 2015. This retrospective analysis of our prospective database compared patients operated early in the week (Monday and Tuesday) with patients operated in the second half (late: Thursday, Friday). PRIMARY OUTCOME MEASURES: Compliance with the ERAS protocol, functional recovery, complications and length of stay. RESULTS: Demographic and surgical details were similar between the early (n=352) and late groups (n=204). Overall compliance with the ERAS protocol was 78% vs 76% for the early and late groups, respectively (p=0.009). Significant differences were notably prolonged urinary drainage and intravenous fluid infusion in the late group. Complication rates and length of stay, however, were not different between surgery on Monday or Tuesday and surgery on Thursday or Friday. CONCLUSIONS: Application of the ERAS protocol showed only minor differences for patients operated on early or late during the week, and clinical outcomes were similar. A fully implemented ERAS programme appears to work also over the weekend. BMJ Publishing Group 2016-10-07 /pmc/articles/PMC5073485/ /pubmed/27855087 http://dx.doi.org/10.1136/bmjopen-2016-011067 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Surgery Romain, Benoît Grass, Fabian Addor, Valérie Demartines, Nicolas Hübner, Martin Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
title | Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
title_full | Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
title_fullStr | Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
title_full_unstemmed | Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
title_short | Impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
title_sort | impact of weekday surgery on application of enhanced recovery pathway: a retrospective cohort study |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073485/ https://www.ncbi.nlm.nih.gov/pubmed/27855087 http://dx.doi.org/10.1136/bmjopen-2016-011067 |
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