Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/114259
Título: Higher Adherence to ERAS Society (R) Recommendations is Associated with Shorter Hospital Stay Without an Increase in Postoperative Complications or Readmissions in Bariatric Surgery: the Association Between Use of Enhanced Recovery After Surgery Protocols and Postoperative Complications after Bariatric Surgery (POWER 3) Multicenter Observational Study
Autores/as: Ripollés-Melchor, Javier
Sánchez-Santos, Raquel
Abad-Motos, Ane
Gimeno-Moro, Ana M.
Díez-Remesal, Yolanda
Jove-Alborés, Patricia
Aragó-Chofre, Pablo
Ortiz-Sebastian, Sergio
Sánchez-Martín, Rubén
Ramírez-Rodríguez, José M.
Trullenque-Juan, Ramón
Valentí-Azcárate, Víctor
Ramiro-Ruiz, Álvaro
Correa-Chacón, Olga C.
Batalla, Astrid
Gimeno-Grauwinkel, Cassandra
Sanahuja-Blasco, Josep Martí
Gonzalez-Valverde, Francisco M.
Galán-Menéndez, Patricia
Díez-Zapirain, Miren J.
Vilallonga, Ramón
Zorrilla-Vaca, Andrés
Pascual-Bellosta, Ana M.
Martínez-Ubieto, Javier
Carrascosa-Mirón, Teresa
Ruiz-Escobar, Alicia
Martin-Garcia-Almenta, E
Suárez-de-la-Rica, Alejandro
Bausili, Marc
Palacios-Cordoba, Ángela
Olvera-García, María M.
Meza-Vega, Julio A.
Sánchez-Pernaute, Andrés
Abad-Gurumeta, Alfredo
Ferrando-Ortola, Carlos
Martín-Vaquerizo, Beatriz
Torres-Alfonso, José R.
Aguado-Sánchez, Sandra
Sánchez-Cabezudo-Noguera, Fátima
García-Erce, José A.
Aldecoa, César
the POWER 3 Study Investigators Group
Clasificación UNESCO: 32 Ciencias médicas
3213 Cirugía
Palabras clave: Bariatric surgery
Perioperative care
Enhanced recovery
Fecha de publicación: 2022
Publicación seriada: Obesity Surgery 
Resumen: Purpose The effectiveness of enhanced recovery after surgery (ERAS) pathways in patients undergoing bariatric surgery remains unclear. Our objective was to determine the effect of the ERAS elements on patient outcomes following elective bariatric surgery. Materials and Methods Prospective cohort study in adult patients undergoing elective bariatric surgery. Each participating center selected a single 3-month data collection period between October 2019 and September 2020. We assessed the 24 individual components of the ERAS pathways in all patients. We used a multivariable and multilevel logistic regression model to adjust for baseline risk factors, ERAS elements, and center differences Results We included 1419 patients. One hundred and fourteen patients (8%) developed postoperative complications. There were no differences in the incidence of overall postoperative complications between the self-designated ERAS and non-ERAS groups (54 (8.7%) vs. 60 (7.6%); OR, 1.14; 95% CI, 0.73–1.79; P = .56), neither for moderate-to-severe complications, readmissions, re-interventions, mortality, or hospital stay (2 [IQR 2–3] vs. 3 [IQR 2–4] days, 0.85; 95% CI, 0.62–1.17; P = .33) Adherence to the ERAS elements in the highest adherence quartile (Q1) was greater than 72.2%, while in the lowest adherence quartile (Q4) it was less than 55%. Patients with the highest adherence rates had shorter hospital stay (2 [IQR 2–3] vs. 3 [IQR 2–4] days, 1.54; 95% CI, 1.09–2.17; P = .015), while there were no differences in the other outcomes Conclusions Higher adherence to ERAS Society® recommendations was associated with a shorter hospital stay without an increase in postoperative complications or readmissions. Trial Registration ClinicalTrials.gov Identifier: NCT03864861
URI: http://hdl.handle.net/10553/114259
ISSN: 0960-8923
DOI: 10.1007/s11695-022-05949-6
Fuente: Obesity Surgery [ISSN 0960-8923], v. 32, p. 1289-1299, (2022)
Colección:Artículos
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