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Enhanced recovery after non-elective colorectal surgery: Is it time for emergency general surgeons to follow suit?
Downey, Ryan; Verma, Kunal; Edwards, Audrene; Hall, Chad.
Affiliation
  • Downey R; Baylor Scott & White Memorial Hospital Temple, TX, USA.
  • Verma K; Baylor Scott & White Memorial Hospital Temple, TX, USA.
  • Edwards A; Baylor Scott & White Memorial Hospital Temple, TX, USA.
  • Hall C; Baylor Scott & White Memorial Hospital Temple, TX, USA. Electronic address: Chad.hall@bswhealth.org.
Am J Surg ; 238: 115835, 2024 Jul 16.
Article in En | MEDLINE | ID: mdl-39059337
ABSTRACT

BACKGROUND:

Surgical dogma suggests that enhanced recovery (ERAS) pathways are not feasible in the non-elective setting. This study challenges that dogma with the implementation of ERAS in non-elective colorectal surgery.

METHODS:

Single center review of all colorectal operations was performed following implementation of ERAS in non-elective colorectal surgery. Compliance and outcomes between elective and non-elective operations were compared.

RESULTS:

142 elective and 116 non-elective operations were performed with a compliance rate of 84 â€‹% and 46 â€‹%, respectively. Acceptable compliance was achieved with 7 metrics in the non-elective cohort. Elective operations were associated with an average LOS of 3 days and a 1 â€‹% SSI rate, compared to 8 days and 15 â€‹% in the non-elective group. On multivariate analysis, five ERAS metrics were associated with SSI.

CONCLUSIONS:

ERAS pathways are often neglected in non-elective surgery. Acute Care Surgeons should recognize the ERAS principles that are appropriate for their patient population and implement these strategies into practice.

Full text: 1 Database: MEDLINE Language: En Journal: Am J Surg Year: 2024 Type: Article Affiliation country: United States

Full text: 1 Database: MEDLINE Language: En Journal: Am J Surg Year: 2024 Type: Article Affiliation country: United States