Post-surgery Recovery Programme and Care Improvement
A new study, published in JAMA Surgery, describes how a recovery programme intended to improve outcomes after surgery has benefited patients undergoing elective colorectal resection or emergency hip fracture repair.
See Also: Coaching Patients for Surgery Lowered Stays, Saved Money
Vincent X. Liu, MD, MS, of Kaiser Permanente, Oakland, and colleagues evaluated the outcomes of an enhanced recovery after surgery (ERAS) programme designed with a particular focus on perioperative pain management, mobility, nutrition, and patient engagement. The study included a total of 3,768 patients undergoing elective colorectal resection and 5,002 patients undergoing emergency hip fracture repair. Comparison surgical patients included 5,556 patients undergoing elective gastrointestinal surgery and 1,523 patients undergoing emergency orthopaedic surgery.
Dr. Liu's team found that implementation of the ERAS programme at 20 hospitals led to significant practice changes, including those for mobility, nutrition, and opioid use. As a result, hospital length of stay and postoperative complication rates were significantly lower among patients in the ERAS group. In addition, ERAS implementation was associated with decreased rates of hospital mortality among patients undergoing colorectal resection, while implementation was associated with increased rates of home discharge among patients with hip fracture.
“Rapid, large-scale implementation of a multidisciplinary ERAS programme is feasible and effective in improving surgical outcomes,” Dr. Liu and co-authors write.
Source: JAMA Surgery
Image Credit: Pixabay
Published on : Thu, 11 May 2017
The fully featured ICU ventilator, HAMILTON-MR1, guarantees uncompromised continuous ventilation care from the ICU to the MRI scanner and back. Its reliability and high performance, with advanced lung-protective strategies and patient-adaptive modes,...
The HAMILTON-T1 combines for the first time the functionality of a fully featured intensive care unit ventilator with the compactness and ruggedness required for transport. This is why the HAMILTON-T1 enables you to provide optimal ventilation therapy...
The HAMILTON-C3 ventilator is a modular high-end ventilation solution for all patient groups. Offering a number of unique features, the HAMILTON-C3 is one of the first ventilators featuring the “Ventilation Autopilot” INTELLiVENT-ASV®. The HAMILTON-C3’s...