Prospects of ERAS (enhanced recovery after surgery) protocols in post pandemic era

Liyanage, Aloka Suwanna Danwaththa; Weerasinghe, Chamindri; Gokul, Krishnan; Babu, B H; Ainsworth, Paul

doi:10.1002/bjs.11903

Cited by 4 publications

(3 citation statements)

References 6 publications

(6 reference statements)

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“…Borghi et al recorded a similar result in terms of reduction in the application of ERAS in Italy [ 23 ]. In the UK, on the other hand, increased adherence to the ERAS protocol was observed [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID‐19 Pandemic on Enhanced Recovery After Surgery (ERAS) Application and Outcomes: Analysis in the “Lazio Network” Database

Grieco

Galiffa²,

Marcellinaro³

et al. 2022

World j. surg.

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Background The aim of this study was to investigate how the COVID-19 pandemic influenced ERAS program application in colorectal surgery across hospitals in the Lazio region (central district in Italy) participating in the “Lazio Network” project. Methods A multi-institutional database was constructed. All patients included in this study underwent elective colorectal surgery for both malignant and benign disease between January 2019 and December 2020. Emergency procedures were excluded. The population was divided into 2 groups: a pre-COVID-19 group (PG) of patients operated on between February and December 2019 and a COVID-19 group (CG) of patients operated on between February and December 2020, during the first 2 waves of the pandemic in Italy. Results The groups included 622 patients in the PG and 615 in the CG treated in 8 hospitals of the network. The mean number of items applied was higher in the PG (65.6% vs. 56.6%, p < 0.001) in terms of preoperative items (64.2% vs. 50.7%, p < 0.001), intraoperative items (65.0% vs. 53.3%, p < 0.001), and postoperative items (68.8% vs. 63.2%, p < 0.001). Postoperative recovery was faster in the PG, with a shorter time to first flatus, first stool, autonomous mobilization and discharge (6.82 days vs. 7.43 days, p = 0.021). Postoperative complications, mortality and reoperations were similar among the groups. Conclusions The COVID-19 pandemic had a negative impact on the application of ERAS in the centers of the “Lazio Network” study group, with a reduction in adherence to the ERAS protocol in terms of preoperative, intraoperative and postoperative items. In addition, in the CG, the patients had worse postoperative outcomes with respect to recovery and discharge. Supplementary Information The online version contains supplementary material available at 10.1007/s00268-022-06694-8.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID‐19 Pandemic on Enhanced Recovery After Surgery (ERAS) Application and Outcomes: Analysis in the “Lazio Network” Database

Grieco

Galiffa²,

Marcellinaro³

et al. 2022

World j. surg.

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show abstract

“…Dado el elevado número de cirugías canceladas y pospuestas, la optimización de los recursos sanitarios por parte de los profesionales debería ser una prioridad. La aplicación de los protocolos de recuperación intensificada puede ser una herramienta importante en la gestión del retraso quirúrgico post COVID-19 4 .…”

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Efecto de la primera ola de la pandemia COVID-19 en la aplicación de los protocolos de recuperación intensificada perioperatoria según la percepción de los profesionales sanitarios

Lorente

Ripollés‐Melchor

Aldecoa

et al. 2022

Revista Española de Anestesiología y Reanimación

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“…Preliminary data from Italy, however, suggested that a colorectal surgery ERAS pathway could not be implemented effectively during a national crisis 3 . Conversely, although supporting data are limited, it has been speculated that ERAS could play a vital role in the UK’s response to the pandemic 4 .…”

mentioning

confidence: 99%

Paving the road to recovery: the colorectal surgery ERAS pathway during the COVID-19 pandemic

Kopczynska

Meskell

et al. 2021

British Journal of Surgery

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Prospects of ERAS (enhanced recovery after surgery) protocols in post pandemic era

Cited by 4 publications

References 6 publications

Impact of the COVID‐19 Pandemic on Enhanced Recovery After Surgery (ERAS) Application and Outcomes: Analysis in the “Lazio Network” Database

Impact of the COVID‐19 Pandemic on Enhanced Recovery After Surgery (ERAS) Application and Outcomes: Analysis in the “Lazio Network” Database

Efecto de la primera ola de la pandemia COVID-19 en la aplicación de los protocolos de recuperación intensificada perioperatoria según la percepción de los profesionales sanitarios

Paving the road to recovery: the colorectal surgery ERAS pathway during the COVID-19 pandemic

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