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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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