Simplified ERAS Program for Elective Colorectal Surgery at Suratthani Hospital
Keywords:
Colorectal surgery, ERAS program, Length of hospital staysAbstract
Background: Enhanced recovery after surgery (ERAS) program in colorectal surgery is a multimodality protocol that could effectively reduce the length of hospital stay and complication rates. However, data on the effectiveness of ERAS in Thailand is still limited.
Objective: The objective of the present study is to evaluate the effectiveness and safety of ERAS program for elective colorectal surgery at Suratthani Hospital.
Methods: In the present study, we included all patients who underwent elective colorectal surgery under the ERAS program by one of the authors at Suratthani Hospital from July 2016 to June 2018. We obtain patients in the traditional care group by matching patients who underwent elective colorectal surgery by other surgeons, using age, height, body weight, BMI, and surgical procedure, to patients in the ERAS group, in the ratio of 2 to 1.
Results: Patients in ERAS group were found to have significantly shorter length of hospital stay, with an average of 6.9 days compared to 9.2 days (p < 0.001) in the traditional care group. There were no statistically significant differences in complications and the rate of readmission within 30 days between the two groups.
Conclusion: The ERAS program was effective in reducing the length of hospital stay without affecting complication rates and was easy to apply. We encourage surgeons in regional and general hospitals to adopt and use the ERAS program to help reduce the overcrowding problem in hospitals.
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