Higher Adherence to ERAS Society® Recommendations is Associated with Shorter Hospital Stay Without an Increase in Postoperative Complications or Readmissions in Bariatric Surgery: the Association Between Use of Enhanced Recovery After Surgery Protocols and Postoperative Complications after Bariatric Surgery (POWER 3) Multicenter Observational Study

Ripollés‐Melchor, Javier; Sánchez-Santos, Raquel; Abad‐Motos, Ane; Gimeno-Moro, Ana M; Díez-Remesal, Yolanda; Jove-Alborés, Patricia; Aragó-Chofre, Pablo; Ortiz-Sebastian, S.; Sánchez-Martín, Rubén; Ramírez-Rodríguez, José Manuel; Trullenque-Juan, Ramón; Valentí-Azcárate, Víctor; Ramiro-Ruiz, Álvaro; Correa-Chacón, Olga C; Batalla, A.; Gimeno-Grauwinkel, Cassandra; Sanahuja-Blasco, Josep Martí; González-Valverde, Francisco Miguel; Galán-Menéndez, P.; Díez-Zapirain, Miren J; Vilallonga, Ramón; Zorrilla‐Vaca, Andrés; Pascual-Bellosta, Ana; Martínez-Ubieto, Javier; Carrascosa-Mirón, Teresa; Ruiz-Escobar, Alicia; Martín-García-Almenta, Ester; Suárez-de-la-Rica, Alejandro; Bausili, M.; Palacios-Cordoba, Ángela; Olvera-García, María M; Meza-Vega, Julio A; Sánchez‐Pernaute, Andrés; Abad‐Gurumeta, Alfredo; Ferrando-Ortolá, Carlos; Martín-Vaquerizo, Beatriz; Torres-Alfonso, José R; Aguado-Sánchez, Sandra; Sánchez-Cabezudo-Noguera, Fátima; García-Erce, José Antonio; Aldecoa, César

doi:10.1007/s11695-022-05949-6

Cited by 9 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Audits play an important role, especially in detailed and procedural analyses, because implementing new protocols is often problematic over time, 37 , 38 , 39 and these problems can encourage a return to traditional or familiar practices. For example, in this study, the ERAS items that showed good adherence were usually items that were already being practiced before starting the protocols, such as advising patients and providing antibiotic prophylaxis before scalp incision.…”

Section: Discussionmentioning

confidence: 99%

The influence of enhanced recovery after surgery protocol adherence in patients undergoing elective neuro-oncological craniotomies

Kaewborisutsakul

Kitsiripant

Kaewsridam

et al. 2023

World Neurosurgery: X

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

The influence of enhanced recovery after surgery protocol adherence in patients undergoing elective neuro-oncological craniotomies

Kaewborisutsakul

Kitsiripant

Kaewsridam

et al. 2023

World Neurosurgery: X

View full text Add to dashboard Cite

“…surgery protocols (ERAS) recommendations have led to shorter hospital stay without increase in compilation rate especially after bariatric surgeries [46].…”

Section: Postoperative Care Of Obese Patientmentioning

confidence: 99%

“…Multimodal opioid sparing pain control regimen using peripheral nerve blockade, neuraxial catheter infusions, oral acetaminophen or nonsteroidal anti-inflammatory drugs, intraoperative local anesthetic infiltrations should be used to significantly decrease opioid consumption and decrease risks of resultant respiratory depression. Adhering to Enhanced recovery after surgery protocols (ERAS) recommendations have led to shorter hospital stay without increase in compilation rate especially after bariatric surgeries [46].…”

Section: Postoperative Care Of Obese Patientmentioning

confidence: 99%

Obesity and anesthesia

Arora,

Sharma,

Carillo

2024

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of review Surgical procedures on obese patients are dramatically increasing worldwide over the past few years. In this review, we discuss the physiopathology of predominantly respiratory system in obese patients, the importance of preoperative evaluation, preoxygenation and intraoperative positive end expiratory pressure (PEEP) titration to prevent pulmonary complications and the optimization of airway management and oxygenation to reduce or prevent postoperative respiratory complications. Recent findings Many patients are coming to preoperative clinic with medication history of glucagon-like-peptide 1 agonists (GLP-1) agonists and it has raised many questions regarding Nil Per Os (NPO)/perioperative fasting guidelines due to delayed gastric emptying caused by these medications. American Society of Anesthesiologists (ASA) has come up with guiding document to help with such situations. Ambulatory surgery centers are doing more obesity cases in a safe manner which were deemed unsafe at one point. Quantitative train of four (TOF) monitoring, better neuromuscular reversal agents and gastric ultrasounds seemed to have made a significant impact in the care of obese patients in the perioperative period. Summary Obese patients are at higher risk of perioperative complications, mainly associated with those related to the respiratory function. An appropriate preoperative evaluation, intraoperative management, and postoperative support and monitoring is essential to improve outcome and increase the safety of the surgical procedure.

show abstract

“…Recovery After Surgery (ERAS) protocols, the postoperative outcomes of RYGB have improved and the length of hospitalization has progressively decreased [5][6][7][8]. Several articles have demonstrated that RYGB patients can be discharged on postoperative day (POD) 1 without increasing the postoperative morbidity or readmission rates [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Is Same-Day Discharge After Roux-en-Y Gastric Bypass Safe? A Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis

et al. 2022

View full text Add to dashboard Cite

Purpose Same-day discharge (SDD) after bariatric surgery is gaining popularity. We aimed to analyze the safety of SDD after Roux-en-Y gastric bypass (RYGB) and compare its outcomes to inpatients discharged on postoperative days 1–2. Materials and Methods We performed a retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database for the period 2015–2020. Patients who underwent primary laparoscopic RYGB and were discharged the same day of the operation (SDD-RYGB) and inpatients discharged on postoperative days 1–2 (In-RYGB) were compared. Primary outcomes of interest were overall morbidity, serious morbidity, readmission, reoperation, intervention, and mortality rates. Results A total of 167,188 patients were included; 2156 (1.3%) SDD-RYGB and 165,032 (98.7%) In-RYGB. Mean age (SDD-RYGB: 44.5 vs. In-RYGB: 44.6 years), proportion of females (SDD-RYGB: 81.4% vs. In-RYGB: 80.6%), and mean body mass index (SDD-RYGB: 45.8 vs. In-RYGB: 45.9 kg/m 2 ) were similar between groups. Overall morbidity (SDD-RYGB: 11.3% vs. In-RYGB: 10.2%; OR: 1.2, p = 0.08), serious morbidity (SDD-RYGB: 3.1% vs. In-RYGB: 3%; OR: 1.03, p = 0.81), reoperation (SDD-RYGB: 1.4% vs. In-RYGB: 1.2%; OR: 1.16, p = 0.42), readmission (SDD-RYGB: 4.8% vs. In-RYGB: 4.8%; OR: 1.01, p = 0.89), and mortality (SDD-RYGB: 0.04% vs. In-RYGB: 0.09%; OR: 0.53, p = 0.53) were comparable between groups. SDD-RYGB had lower risk of 30-day interventions (SDD-RYGB: 1.1% vs. In-RYGB: 1.6%; OR: 0.64, p = 0.04) compared to In-RYGB. Conclusion Same-day discharge after RYGB seems to be safe and has comparable outcomes to admitted patients. Standardized patient selection criteria and perioperative management protocols are needed to further increase the safety of this practice. Graphical abstract

show abstract

Cited by 9 publications

References 26 publications

The influence of enhanced recovery after surgery protocol adherence in patients undergoing elective neuro-oncological craniotomies

The influence of enhanced recovery after surgery protocol adherence in patients undergoing elective neuro-oncological craniotomies

Obesity and anesthesia

Is Same-Day Discharge After Roux-en-Y Gastric Bypass Safe? A Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis

Contact Info

Product

Resources

About