Enhanced recovery after colorectal surgery: the clinical and economic benefit in elderly patients

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F19%3AN0000098" target="_blank" >RIV/00064173:_____/19:N0000098 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11130/19:10395723 RIV/00064203:_____/19:10395723

Výsledek na webu

<a href="https://doi.org/10.1007/s10353-019-0595-8" target="_blank" >https://doi.org/10.1007/s10353-019-0595-8</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s10353-019-0595-8" target="_blank" >10.1007/s10353-019-0595-8</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Enhanced recovery after colorectal surgery: the clinical and economic benefit in elderly patients

Popis výsledku v původním jazyce

Background We performed this study to investigate the feasibility and clinical and financial benefit of an enhanced recovery after surgery (ERAS) protocol in elderly patients undergoing colorectal resections. Methods Patients over the age of 65 undergoing open colorectal resections at the department of surgery of the Motol University Hospital in Prague between January 2015 and August 2017 were included in the study. Patients who received ERAS perioperative care formed the ERAS group and patients who received standard perioperative care formed the control group. Adherence to the ERAS protocol, hospitalisation length, readmission rate, 30-day postoperative morbidity and mortality, and treatment costs were analysed. Results Seventy-four patients were included in the ERAS group and sixty-one in the control group. Patient and surgical characteristics were similar in the two groups. An adherence of 83.8% to the ERAS protocol was achieved. Recovery parameters were improved and hospital stay length was shortened, while readmission rate, morbidity and mortality. Although not statistically significant, treatment costs were reduced by an average of (sic)1187 per patient. Conclusion We showed that our enhanced recovery after colorectal surgery protocol in elderly patients is feasible, effective, safe and reduces treatment costs.

Název v anglickém jazyce

Enhanced recovery after colorectal surgery: the clinical and economic benefit in elderly patients

Popis výsledku anglicky

Background We performed this study to investigate the feasibility and clinical and financial benefit of an enhanced recovery after surgery (ERAS) protocol in elderly patients undergoing colorectal resections. Methods Patients over the age of 65 undergoing open colorectal resections at the department of surgery of the Motol University Hospital in Prague between January 2015 and August 2017 were included in the study. Patients who received ERAS perioperative care formed the ERAS group and patients who received standard perioperative care formed the control group. Adherence to the ERAS protocol, hospitalisation length, readmission rate, 30-day postoperative morbidity and mortality, and treatment costs were analysed. Results Seventy-four patients were included in the ERAS group and sixty-one in the control group. Patient and surgical characteristics were similar in the two groups. An adherence of 83.8% to the ERAS protocol was achieved. Recovery parameters were improved and hospital stay length was shortened, while readmission rate, morbidity and mortality. Although not statistically significant, treatment costs were reduced by an average of (sic)1187 per patient. Conclusion We showed that our enhanced recovery after colorectal surgery protocol in elderly patients is feasible, effective, safe and reduces treatment costs.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Surgery

ISSN

1682-8631

e-ISSN

1682-4016

Svazek periodika

51

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

AT - Rakouská republika

Počet stran výsledku

6

Strana od-do

183-188

Kód UT WoS článku

000476534500002

EID výsledku v databázi Scopus

2-s2.0-85065967471