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Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection. / Cakir, H.; van Stijn, M. F. M.; Lopes Cardozo, A. M. F. et al.

In: Colorectal disease, Vol. 15, No. 8, 2013, p. 1019-1025.

Research output: Contribution to journal › Article › Academic › peer-review

Harvard

Cakir, H, van Stijn, MFM, Lopes Cardozo, AMF, Langenhorst, BLAM, Schreurs, WH, van der Ploeg, TJ, Bemelman, WA & HOUDIJK, APJ 2013, 'Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection', Colorectal disease, vol. 15, no. 8, pp. 1019-1025. https://doi.org/10.1111/codi.12200

APA

Cakir, H., van Stijn, M. F. M., Lopes Cardozo, A. M. F., Langenhorst, B. L. A. M., Schreurs, W. H., van der Ploeg, T. J., Bemelman, W. A., & HOUDIJK, A. P. J. (2013). Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection. Colorectal disease, 15(8), 1019-1025. https://doi.org/10.1111/codi.12200

Vancouver

Cakir H, van Stijn MFM, Lopes Cardozo AMF, Langenhorst BLAM, Schreurs WH, van der Ploeg TJ et al. Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection. Colorectal disease. 2013;15(8):1019-1025. doi: 10.1111/codi.12200

Author

Cakir, H. ; van Stijn, M. F. M. ; Lopes Cardozo, A. M. F. et al. / Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection. In: Colorectal disease. 2013 ; Vol. 15, No. 8. pp. 1019-1025.

BibTeX

@article{5897c48847e845a29f1c1a85bdfb3f99,
title = "Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection",
abstract = "The Enhanced Recovery After Surgery (ERAS) programme is a multimodal approach to improve peri-operative care in colon surgery. The aim of this study was to report on the adherence to and outcomes of ERAS in the first years after implementation. Data of patients undergoing elective colon resections for malignancy in 2006 until 2010 were compared with patients receiving conventional care in 2005. Retrospective analysis was performed including length of stay (LOS), protocol adherence and complications. The predictive values of ERAS items and baseline characteristics on LOS and complications were analysed using univariate and multivariate analysis. Length of stay (LOS) was significantly shorter in 2006 and 2007 (P ≤ 0.009 and P ≤ 0.004) but not in 2008 and 2009. The mean adherence rate to the ERAS items was 84.1% in 2006 and 2007 and 72.4% in 2008 and 2009 (P < 0.001). In 2005, 2008 and 2009 LOS was significantly shorter for laparoscopically operated patients than for patients with open resections (P < 0.002, P < 0.001 and P < 0.004 respectively). Multivariate analysis showed that age, laparoscopic surgery, removal of nasogastric tube before extubation, mobilization within 24 h after surgery, starting nonsteroidal anti-inflammatory drugs at day 1 and removal of thoracic epidural analgesia at day 2 were independent predictors of LOS. Strict adherence to the ERAS protocol was associated with reduced LOS and improved outcome in elective colon surgery for malignancy. These benefits were lost when protocol adherence was lower. Embedding the ERAS protocol into an organization and repetitive education are vital to sustain its beneficial effects on LOS and outcome",
author = "H. Cakir and {van Stijn}, {M. F. M.} and {Lopes Cardozo}, {A. M. F.} and Langenhorst, {B. L. A. M.} and Schreurs, {W. H.} and {van der Ploeg}, {T. J.} and Bemelman, {W. A.} and HOUDIJK, {A. P. J.}",
year = "2013",
doi = "10.1111/codi.12200",
language = "English",
volume = "15",
pages = "1019--1025",
journal = "Colorectal disease",
issn = "1462-8910",
publisher = "Wiley-Blackwell",
number = "8",

}

RIS

TY - JOUR

T1 - Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection

AU - Cakir, H.

AU - van Stijn, M. F. M.

AU - Lopes Cardozo, A. M. F.

AU - Langenhorst, B. L. A. M.

AU - Schreurs, W. H.

AU - van der Ploeg, T. J.

AU - Bemelman, W. A.

AU - HOUDIJK, A. P. J.

PY - 2013

Y1 - 2013

N2 - The Enhanced Recovery After Surgery (ERAS) programme is a multimodal approach to improve peri-operative care in colon surgery. The aim of this study was to report on the adherence to and outcomes of ERAS in the first years after implementation. Data of patients undergoing elective colon resections for malignancy in 2006 until 2010 were compared with patients receiving conventional care in 2005. Retrospective analysis was performed including length of stay (LOS), protocol adherence and complications. The predictive values of ERAS items and baseline characteristics on LOS and complications were analysed using univariate and multivariate analysis. Length of stay (LOS) was significantly shorter in 2006 and 2007 (P ≤ 0.009 and P ≤ 0.004) but not in 2008 and 2009. The mean adherence rate to the ERAS items was 84.1% in 2006 and 2007 and 72.4% in 2008 and 2009 (P < 0.001). In 2005, 2008 and 2009 LOS was significantly shorter for laparoscopically operated patients than for patients with open resections (P < 0.002, P < 0.001 and P < 0.004 respectively). Multivariate analysis showed that age, laparoscopic surgery, removal of nasogastric tube before extubation, mobilization within 24 h after surgery, starting nonsteroidal anti-inflammatory drugs at day 1 and removal of thoracic epidural analgesia at day 2 were independent predictors of LOS. Strict adherence to the ERAS protocol was associated with reduced LOS and improved outcome in elective colon surgery for malignancy. These benefits were lost when protocol adherence was lower. Embedding the ERAS protocol into an organization and repetitive education are vital to sustain its beneficial effects on LOS and outcome

AB - The Enhanced Recovery After Surgery (ERAS) programme is a multimodal approach to improve peri-operative care in colon surgery. The aim of this study was to report on the adherence to and outcomes of ERAS in the first years after implementation. Data of patients undergoing elective colon resections for malignancy in 2006 until 2010 were compared with patients receiving conventional care in 2005. Retrospective analysis was performed including length of stay (LOS), protocol adherence and complications. The predictive values of ERAS items and baseline characteristics on LOS and complications were analysed using univariate and multivariate analysis. Length of stay (LOS) was significantly shorter in 2006 and 2007 (P ≤ 0.009 and P ≤ 0.004) but not in 2008 and 2009. The mean adherence rate to the ERAS items was 84.1% in 2006 and 2007 and 72.4% in 2008 and 2009 (P < 0.001). In 2005, 2008 and 2009 LOS was significantly shorter for laparoscopically operated patients than for patients with open resections (P < 0.002, P < 0.001 and P < 0.004 respectively). Multivariate analysis showed that age, laparoscopic surgery, removal of nasogastric tube before extubation, mobilization within 24 h after surgery, starting nonsteroidal anti-inflammatory drugs at day 1 and removal of thoracic epidural analgesia at day 2 were independent predictors of LOS. Strict adherence to the ERAS protocol was associated with reduced LOS and improved outcome in elective colon surgery for malignancy. These benefits were lost when protocol adherence was lower. Embedding the ERAS protocol into an organization and repetitive education are vital to sustain its beneficial effects on LOS and outcome

U2 - 10.1111/codi.12200

DO - 10.1111/codi.12200

M3 - Article

C2 - 23470117

VL - 15

SP - 1019

EP - 1025

JO - Colorectal disease

JF - Colorectal disease

SN - 1462-8910

IS - 8

ER -

ID: 1902212