A randomized controlled study of enhanced recovery after surgery (ERAS) programs for patients undergoing appendectomy
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 2
Abstract
Background: The use of postoperative recovery management protocols such as Enhanced Recovery After Surgery (ERAS) and fast-track programs are spreading worldwide with good outcomes in elective surgery. These programs attempt to modify the physiological and psychological responses to major surgery. Aim: To study the usefulness of enhanced recovery after surgery (ERAS) programs for patients undergoing appendectomy. Material and Methods: A total of 100 patients admitted with uncomplicated appendicitis were assigned to one of two groups: with ERAS protocol (Experimental group) or with conventional care (Control group). All patients provided written informed consent before participation. The randomization was performed by computer-generated numbers. The primary end point of the study was postoperative length of hospital stay. The secondary end points were time to resume diet, postoperative pain, total hospital stay, postoperative complications and readmission rates. Results: The mean value of pain score in experimental group was 3.4±2.321 and in control group was 6.74±2.174. In experimental majority of patients were mobilized (52%) and whereas in control group majority of patients weren’t mobilized (58%).The mean post-operative day of discharge in experimental group was 1.48±0.504 and in control group was 4.12±1.118. Conclusion: ERAS implementation can reduce hospital stay, accelerated postoperative recovery, decreased financial burden and better quality of life in open appendectomy
Authors and Affiliations
Mageswaran P, G K Venkatachalam, B Kanchana
Keywords
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- EP ID EP471871
- DOI 10.26611/1069211
- Views 159
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