Association between use of enhanced recovery after surgery protocols and postoperative complications in colorectal surgery in Europe: The EuroPOWER international observational study

Ripollés‐Melchor, Javier; Abad‐Motos, Ane; Cecconi, Maurizio; Pearse, Rupert M; Jaber, Samir; Slim, K.; Francis, Nader; Spinelli, Antonino; Joris, Jean; Ioannidis, Orestis; Zarzava, Eirini; Şentürk, Nüzhet; Koopman, Seppe; Goettel, Nicolai; Stundner, Ottokar; Vymazal, Tomáš; Kocián, Petr; El‐Hussuna, Alaa; Pędziwiatr, Michał; Gudaitytė, Jūratė; Latkauskas, Tadas; Santos, Marisa D.; Machado, Humberto S; Záhorec, R; Cvetković, Ana; Mirić, Mirjana; Γεωργίου, Μαρία; Díez-Remesal, Yolanda; Jammer, Ib; Mena, Gabriel E.; Zorrilla‐Vaca, Andrés; Marino, Marco Vito; Suárez-de-la-Rica, Alejandro; García‐Erce, José Antonio; Logroño-Ejea, Margarita; Ferrando-Ortolá, Carlos; De-Fuenmayor-Valera, María L; Ugarte‐Sierra, Bakarne; Andrés-Ibáñez, J. De; Abad‐Gurumeta, Alfredo; Pellino, Gianluca; Gómez-Ríos, Manuel Ángel; Poggioli, Gilberto; Menzo-Wolthuis, Albert; Castellano-Paulis, Berta; Galán-Menéndez, P.; Aldecoa, César; Ramírez-Rodríguez, José M.

doi:10.1016/j.jclinane.2022.110752

Cited by 21 publications

(9 citation statements)

References 33 publications

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“…The number of patients with complications in the observation group was significantly less than those in the control group, which indicated better nursing effect on ERAS ( p < 0.05). One of the concepts of ERAS is to reduce the incidence of postoperative complications and promote the recovery of patients’ physical and psychological health ( 25 ), which is consistent with the results in Table 1 . Nursing staff made a comprehensive evaluation of the preoperative visits of the patients in the observation group before the operation.…”

Section: Resultssupporting

confidence: 84%

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

Xie

et al. 2022

Front. Surg.

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ObjectiveIn order to better understand the relative surgical process, this work used a model-based computational analysis on the effectiveness of enhanced recovery after surgery (ERAS) in the operating room with nursing.MethodsA total of 360 surgical patients in the First Affiliated Hospital, Sun Yat-sen University, from the period June 2020 to March 2021, were randomly divided into two groups, namely, observation group and control group, with 180 cases in each group. Routine nursing was used in the control group, while ERAS was implemented in the observation group from the point of view of four aspects, namely, preoperative visit, intraoperative cooperation, postoperative return visit, and psychological intervention.ResultsPostoperative complications, average hospital stay, nursing satisfaction, and postoperative quality of life in the observation group were significantly better than those in the control group (all p < 0.05).ConclusionThe application of ERAS for surgical patients can enhance team awareness, optimize the process of cooperation, reduce surgical complications and improve nursing quality, and prognosis, and it is worth popularizing in the operating room.

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Section: Resultssupporting

confidence: 84%

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

Xie

et al. 2022

Front. Surg.

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“…In the last few years, Enhanced Recovery Protocols (ERP) were shown to be effective in reducing post-operative complications in patients undergoing colorectal surgery through a standardization of perioperative procedures, including a routine no drain policy [ 37 ]. Most of the literature on this topic is based on colorectal cancer patients, whereas knowledge about ERP implementation in inflammatory bowel disease (IBD) has been barely investigated [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Routine placement of abdominal drainage in pouch surgery does not impact on surgical outcomes

et al. 2022

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The evidence does not support the routine use of abdominal drainage (AD) in colorectal surgery. However, there is no data on the usefulness of AD, specifically, after ileal pouch-anal anastomosis (IPAA). The aim of this study is to assess post-operative outcomes of patients undergoing IPAA with or without AD at a high volume referral center. A retrospective analysis of prospectively collected data of consecutive patients undergoing IPAA with AD (AD group) or without AD (NAD group) was performed. Baseline characteristics, operative, and postoperative data were analyzed and compared between the two groups. A total of 97 patients were included in the analysis, 46 were in AD group and 51 in NAD group. AD group had a higher BMI (23.9 ± 3.9 kg/m 2 vs 21.9 ± 3.0 kg/m 2 ; p = 0.007) and more commonly underwent two-stage proctocolectomy with IPAA compared to the NAD group (50.0% vs 3.9%; p < 0.001). There was no difference in anastomotic leak rate (6.5% AD vs 5.9% NAD group; p = 1.000), major post-operative complication (8.6% vs 7.9%; p = 0.893); median length of stay [IQR] (5 [5–7] days vs 5 [4–7] days; p = 0.305) and readmission < 90 days (8.7% vs 3.9%; p = 0.418). The use of AD does not impact on surgical outcome after IPAA and question the actual benefit of its routine placement.

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“… 2 Many qualities improvement programs have been proposed to face the challenges of perioperative complications. 3 …”

Section: The Burden Of Postoperative Complicationsmentioning

confidence: 99%

Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review

Lobo,

Junior,

Malbouisson

2024

Brazilian Journal of Anesthesiology (English Edition)

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Association between use of enhanced recovery after surgery protocols and postoperative complications in colorectal surgery in Europe: The EuroPOWER international observational study

Cited by 21 publications

References 33 publications

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

Model-Based Computational Analysis on the Effectiveness of Enhanced Recovery after Surgery in the Operating Room with Nursing

Routine placement of abdominal drainage in pouch surgery does not impact on surgical outcomes

Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review

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