Implementation of a Perioperative Venous Thromboembolism Prophylaxis Program for Patients Undergoing Radical Cystectomy on an Enhanced Recovery After Surgery Protocol

Chiang, H. Abraham; Cheng, Philip J.; Speed, Jacqueline M.; Steinberg, John B.; Najjar, Peter A.; Steele, Graeme S.; Trinh, Quoc Dien; Eswara, Jairam R.; Kibel, Adam S.; Stopfkuchen-Evans, Matthias; Preston, Mark A.

doi:10.1016/j.euf.2018.08.025

Cited by 13 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 This recent decrease is likely reflective of improved perioperative care pathways including early ambulation, and inhospital and post-discharge VTE prophylaxis over the past decade. 21 The 40-year time period examined in the current study likely prevented us from discerning this more recent trend and likely explains these contrasting data. BMI was also found to be significantly associated with VTE in RC patients, which is consistent with previous studies.…”

Section: Discussionmentioning

confidence: 79%

Intraoperative Blood Transfusion Is Associated With Increased Risk of Venous Thromboembolism After Radical Cystectomy

et al. 2023

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 79%

Intraoperative Blood Transfusion Is Associated With Increased Risk of Venous Thromboembolism After Radical Cystectomy

et al. 2023

View full text Add to dashboard Cite

“…The multifactorial approach includes, among other interventions, consistent use of prolonged PTP, mechanical thromboprophylaxis, and early ambulation, which is more effective in reducing VTE incidence than PTP alone (0.9% vs 6.2%). 24,25 Several limitations of this study have to be addressed. First, due to the structure of the database, we were not able to obtain cancer-specific variables, such as cancer stage for patients with bladder cancer or other malignancies, and mechanical thromboprophylaxis, rendering us unable to adjust for those potential confounders.…”

Section: Discussionmentioning

confidence: 99%

Trends in Adherence to Thromboprophylaxis Guideline in Patients Undergoing Radical Cystectomy

Tully

Krimphove

Reese

et al. 2020

Urology

Self Cite

View full text Add to dashboard Cite

“…In other countries, the average LOS of patients with ERAS was shorter than in China, and was 5-6 d[ 23 , 24 ]. However, about 50%-80% of the discharged patients in developed countries are taken out of hospital care institutions[ 25 ], which might help explain this differences between countries. Therefore, the readmission rate of discharged patients after surgery and the factors influencing readmission LOS warrant further investigation.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of enhanced recovery after surgery in the perioperative management of patients with bone surgery in China

Zhao¹,

Liu²,

Zhao³

et al. 2021

WJCC

View full text Add to dashboard Cite

BACKGROUND Enhanced recovery after surgery (ERAS) was introduced in China in 2007. Over time, the scope of ERAS has expanded from abdominal surgery to orthopedics, urology and other fields. Continuous development and research has contributed to progress of ERAS in China. In 2019, to promote the application of ERAS in bone tumor surgery, we formed the “Consensus of Experts on Perioperative Management of Accelerated Rehabilitation in Major Surgery of Bone Tumors in China”. AIM To evaluate the effect of enhanced recovery after bone tumor surgery in perioperative management in China. METHODS One hundred and seven patients who underwent bone tumor surgery at the Second Affiliated Hospital of Xi’an Jiaotong University between May 2019 and April 2021 were randomized into a study group (53 cases) and a control group (54 cases). The study group adopted the ERAS protocol and the control group adopted conventional care. Main outcome measures included postoperative length of stay (LOS), postoperative complications, mortality, and 30-d readmission rates. Secondary outcomes included postoperative visual analog scale (VAS) score of pain, number of blood transfusions, drainage volume in 24 h after operation, patient satisfaction 30 d after discharge, VAS score at 30 d after discharge, and daily standing walking time. RESULTS There were no significant differences in the baseline data, clinical features and surgical site between the two groups. The LOS in the study group with the ERAS protocol was 7.72 ± 3.34 d compared with 10.28 ± 4.27 d in the control group who followed conventional care. The incidence of postoperative nausea and vomiting (PONV) in the study group was 19% and 37% in the control group. The VAS scores of pain on postoperative day 1 (POD1) and POD3 in the study group were 4.79 ± 2.34 and 2.79 ± 1.53 compared with 5.28 ± 3.27 and 3.98 ± 2.27 in the control group. The drainage volume in 24 h after the operation was 124.36 ± 23.43 mL in the study group and 167.43 ± 30.87 mL in the control group. The number of blood transfusions in the study group was also lower. The patient satisfaction rate was higher in the study group than in the control group. CONCLUSION The ERAS protocol in the perioperative period of bone tumor surgery can decrease LOS, PONV, and postoperative pain, blood transfusion and 24-h drainage, improve patient satisfaction and accelerate recovery.

show abstract

Implementation of a Perioperative Venous Thromboembolism Prophylaxis Program for Patients Undergoing Radical Cystectomy on an Enhanced Recovery After Surgery Protocol

Cited by 13 publications

References 21 publications

Intraoperative Blood Transfusion Is Associated With Increased Risk of Venous Thromboembolism After Radical Cystectomy

Intraoperative Blood Transfusion Is Associated With Increased Risk of Venous Thromboembolism After Radical Cystectomy

Trends in Adherence to Thromboprophylaxis Guideline in Patients Undergoing Radical Cystectomy

Effectiveness of enhanced recovery after surgery in the perioperative management of patients with bone surgery in China

Contact Info

Product

Resources

About