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So many measures in ERAS protocol: Which matters most?
Xie, Nan; Xie, Hua; Li, Wei; Zhu, Zhongxian; Wang, Xu; Tang, Weibing.
Afiliación
  • Xie N; Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
  • Xie H; Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
  • Li W; Department of Clinical Research Center, Children's Hospital of Nanjing Medical University, Nanjing, China.
  • Zhu Z; Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
  • Wang X; Department of Endocrinology, Children's Hospital of Nanjing Medical University, Nanjing, China.
  • Tang W; Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China. Electronic address: twbcn@163.com.
Nutrition ; 122: 112384, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38428222
ABSTRACT

OBJECTIVES:

Enhanced recovery after surgery (ERAS), which includes multiple measures, has gradually become the standard perioperative management in pediatric surgery. However, it is still unclear which of its many measures affects the outcomes more.

METHODS:

We retrospectively analyzed the medical records of children with congenital choledochal cysts who underwent surgical treatment in a specialized children's hospital from January 2019 to December 2022. Data including baseline factors, implementation of ERAS interventions, postoperative complications, and postoperative length of stay (PLOS) were collected. Univariate and multivariate analyses were performed to identify the association between PLOS and baseline factors or specific ERAS measures.

RESULTS:

The implementation rate of ERAS measures ranged from 5.02% to 100% in 219 cases who underwent 3 to 14 ERAS measures. Univariate analysis showed that body mass index-for-age z-scores, liver function indicators, and postoperative complications were the significant baseline factors for PLOS. At the same time, the measures with the greatest effect on PLOS were early postoperative feeding and early removal of tubes. Multivariate analysis with different models revealed that postoperative complications, early postoperative feeding, and early catheter removal influenced the PLOS the most.

CONCLUSIONS:

A prolonged PLOS was associated with poor preoperative nutritional status, elevated liver function indexes, and postoperative complications. Early postoperative feeding and removal of tubes appeared more likely with a reduced PLOS than other measures, requiring more attention when implementing the ERAS protocol.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Recuperación Mejorada Después de la Cirugía Límite: Child / Humans Idioma: En Revista: Nutrition Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Recuperación Mejorada Después de la Cirugía Límite: Child / Humans Idioma: En Revista: Nutrition Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article País de afiliación: China