Implementing an early feeding pathway post gastrostomy insertion reduces inpatient stay

Lam, Christine S.; Dick, Karen; Bethell, George; Stedman, Francesca; Keys, Simon Charlie; Ron, Ori; Kitteringham, Lara; Stanton, Michael; Hall, Nigel

doi:10.1016/j.jpedsurg.2020.01.024

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…When same-day admission is used, hospital stays are generally shortened, resulting in a reduction in costs of one day. 6 A literature review and analysis of initial data led surgeons to start feeding earlier and increase the increments of feeding. 5 , 6 , 14 – 16 As a result, all surgeons reached full feed sooner and discharged patients earlier.…”

Section: Discussionmentioning

confidence: 99%

“… 6 A literature review and analysis of initial data led surgeons to start feeding earlier and increase the increments of feeding. 5 , 6 , 14 – 16 As a result, all surgeons reached full feed sooner and discharged patients earlier.…”

Section: Discussionmentioning

confidence: 99%

“…There is no known standard feeding protocol for pediatric patients following laparoscopic gastrostomy tube insertion, but it is usually delayed for 12 hours or more to decrease the risk of complications. 6 ERAS feeding protocols may positively influence the time to reach full feed (TFF) and hospital LOS, as well as help to identify complications associated with early feeding.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implementation of Enhanced Recovery After Surgery protocols for gastrostomy tube insertion in patients younger than 14 years of age: a retrospective cohort study

Alassiri,

AlTayeb,

Alqahtani

et al. 2023

Ann Saudi Med

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BACKGROUND: Enhanced recovery after surgery (ERAS) protocols have improved treatment outcomes and have standardized patient care. OBJECTIVES: Identify the benefit of introducing the ERAS protocol for feeding after gastrostomy insertion with or without Nissen fundoplication, the effects on the time of reaching the full feeds the length of stay single-center experience, and complications associated with early feeding protocols. DESIGN: Retrospective cohort study SETTING: Tertiary hospital METHODS: The study review included cases performed between 2015 and 2021 by four surgeons, and cases performed in 2022 by all surgeons using ERAS feeding protocol (P) in a tertiary hospital. MAIN OUTCOME MEASURES: Comparison the mean and mode of the length of stay (LOS) and the time until the patient reached full feed (TFF). SAMPLE SIZE: 224 patients; 181 by the four surgeons and 43 cases by the ERAS protocol group. RESULTS: The difference in the ERAS protocol from the four surgeons in TFF and LOS was statistically significant ( P <.001). There was no noticeable difference in postoperative complications after introducing the ERAS protocol. CONCLUSION: ERAS improved the TFF and decreased the LOS without any increase in procedure complications. Increasing bed utilization and reducing costs were two benefits of reducing LOS at our hospital. LIMITATIONS: Single-center study, which may not be generalizable. Multiple comorbidities. Travel time from different parts of the country could impact LOS. Retrospective and thus dependent on the accuracy of the information in file notes. CONFLICT OF INTEREST: None.

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