Clinical ScienceEnhanced postoperative recovery pathways in emergency surgery: a randomised controlled clinical trial
Section snippets
Study design, eligibility, randomization, and exclusion criteria
This study was a prospective, single-center, randomized controlled, nonblinded clinical study. The aim of the study was to evaluate the safety and efficacy of enhanced postoperative recovery pathways in patients who underwent laparoscopic Graham patch repair (LGPR) for PPUD. Patients who were diagnosed with PPUD between May 2012 and January 2013 were recruited for the study. The Institutional Review Board of the Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey, approved this
Results
The details of the enrollment process are shown on a CONSORT 2010 flow diagram in Fig. 1.12 Twenty-six patients in the control group and 21 in the ERAS group were considered for statistical analysis.
The female-to-male ratio in the control and ERAS groups was 6 of 20 and 5 of 16, respectively. The mean age of patients in the control and ERAS groups was 37.8 ± 14.3 years (range 18 to 71 years) and 35.4 ± 13.2 years (range 18 to 66 years), respectively (P = .56). PPUD was located in the anterior
Comments
Age older than 60 years, shock on admission, and concomitant systemic diseases are well-established risk factors that influence outcomes of patients who undergo emergency surgery for PPUD.13, 14 The favorable outcomes in the present study were most likely caused by the fact that almost all patients with these risk factors were excluded. Likewise, the overall mortality rate (2%) and the mortality rate of each group (4% and 0%) were less than that previously reported in the literature (6% to 30%).
Acknowledgments
The authors thank Bilgi Baca, Elcin Coskun, and Halit Gonenc for providing essential data and statistical analysis.
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Perioperative clinical management in relation to emergency surgery for perforated peptic ulcer: A nationwide questionnaire survey
2022, Clinical Nutrition ESPENCitation Excerpt :Surgeons generally reported using a guideline, for most parts, local instructions. Optimized protocols for the postoperative course, such as ERAS (Enhanced Recovery After Surgery) regimes have not been sufficiently implemented nationwide in Denmark, yet [9,23]. Limitations of the study include the relatively small sample size and the low response rate.
Enhanced Recovery After Emergency Surgery: Utopia or Reality?
2021, Cirugia EspanolaTechnical Evidence Review for Emergency Major Abdominal Operation Conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery
2020, Journal of the American College of SurgeonsCitation Excerpt :Perioperative bundles or protocols have been adopted for elective abdominal operations and a similar approach can benefit patients undergoing emergency major abdominal operations. We identified 2 RCTs and 9 observational studies evaluating ERP bundles or preoperative assessment and optimization bundles.29,30,32,137-144 Protocols are summarized in Table 4 and results in Tables 5 and 6.
The authors declare no conflict of interest.