ERAS implementation in an urban patient population undergoing gynecologic surgery.
Best Pract Res Clin Obstet Gynaecol
; 85(Pt B): 1-11, 2022 Dec.
Article
em En
| MEDLINE
| ID: mdl-36031533
ABSTRACT
BACKGROUND:
Enhanced recovery after surgery (ERAS) protocols improve outcomes. We investigated ERAS implementation in a population with comorbid conditions, inadequate insurance, and barriers to healthcare undergoing gynecologic surgery.OBJECTIVE:
To investigate ERAS implementation in publicly insured/uninsured patients undergoing gynecologic surgery on hospital length of stay (LOS), 30-day hospital readmission rates, opioid administration, and pain scores. STUDYDESIGN:
Data were obtained pre- and post-ERAS implementation. Patients undergoing gynecologic surgery with private insurance, public insurance, and uninsured were included (N = 589). LOS, readmission <30 days, opioid administration, and pain scores were assessed.RESULTS:
Implementation of ERAS led to shorter LOS 1.75 vs. 1.49 days (p = 0.008). Average pain scores decreased from 3.07 pre-ERAS vs. 2.47 post-ERAS (p = <0.001). Opioid use decreased for ERAS patients (67.22 vs. 33.18, p = <0.001). Hospital readmission rates were unchanged from 8.2% pre-ERAS vs. 10.3% post-ERAS (p = 0.392).CONCLUSIONS:
ERAS decreased pain scores and opioid use without increasing LOS or readmissions.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Recuperação Pós-Cirúrgica Melhorada
Limite:
Female
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article