HCPLive

Post-operative Recovery Program Aids Community Hospital Outcome

FRIDAY, July 25, 2014 (HealthDay News) -- Implementation of an enhanced recovery after surgery (ERAS) colorectal program is feasible in a community hospital setting and significantly improves outcomes, according to a study published online July 23 in JAMA Surgery.

Cristina B. Geltzeiler, MD, from the Oregon Health and Science University in Portland, and colleagues assessed practice patterns and patient outcomes for all elective colon and rectal resection cases performed in 2009 (prior to ERAS implementation), 2011, and 2012. The ERAS program involves multidisciplinary efforts from anesthesia, preadmission, nursing, and surgery staff.

The researchers found that over the study period the use of laparoscopy increased from 57.4 to 88.8% (P < 0.001) and was accompanied by a significant decrease in length of stay (LOS; 6.7 versus 3.7 days; P < 0.001), without an increase in 30-day readmission rate (P = 0.49). There were decreases in use of patient-controlled narcotic analgesia (P < 0.001) and duration of use (P = 0.02). There was a trend toward decreased ileus (P = 0.02) and intra-abdominal infection (P = 0.24). Colorectal cancer diagnosis was not significantly associated with LOS, 30-day readmission rates, ileus, and intra-abdominal infection (all P > 0.05).

"Length of stay reductions resulted in an estimated cost savings of $3,202 per patient (2011) and $4,803 per patient (2012)," the authors write.

Abstract
 
Full Text (subscription or payment may be required)

 
Copyright © 2014 HealthDay. All rights reserved.


Most Popular

Recommended Reading

Two major changes in opioid dispensing that were placed into action in 2010 have made significant impacts on the prescription drug abuse epidemic.
Osteoarthritis (OA) is a crippling condition with the majority of cases taking place in the knee – but what’s the best form of treatment?
A recent study looked into the neural functions affected by ibuprofen and found some connections that may soon lead to a much greater understanding of the greatest pain mitigator of them all: the brain.
Researchers from the University of California-Santa Barbara recently announced they have created an implantable “artificial pancreas” that could potentially eliminate the need for insulin injections and pumps for treating type 1 diabetes.
$vAR$