Department of Surgery, Haugesund Hospital, Haugesund, Norway.
Scand J Surg. 2009;98(3):155-9. doi: 10.1177/145749690909800305.
Enhanced recovery after surgery (ERAS) has reduced the median hospital stay from 8-10 days with traditional peri-operative routines to four days. The aim of the present study was to introduce the principles of ERAS in our hospital and measure the effect on hospital stay, complications and quality of life after discharge from hospital.
94 consecutive patients, 40 males, 54 females, median age 66 years, were included in a prospective non-randomised observational study at Haukeland University Hospital and Haugesund Hospital from October 2000 until February 2003. After a three-month preparation period, the principles of ERAS were implemented. The results were evaluated with questionnaires and by follow-ups 8-10 and 30 days after surgery. The results were compared to the results of colorectal surgery before introduction of accelerated recovery.
45 (48%) and 73 (78%) patients were discharged within three and five days after surgery with ERAS, compared to zero and seven (5%) patients with traditional recovery. The complication rate with ERAS was 31%, and the readmission rate was 15%. After one week, 57% had resumed their daily activities at home. After 30 days, 65% of the patients had resumed their normal and leisure activities.
After a proper preparation period, ERAS principles may be implemented in surgical department, and is followed by a reduced median hospital stay and rapid return to normal daily activities for most patients after colorectal surgery.
加速康复外科（ERAS）通过改变传统围手术期处理方法，将中位住院时间从 8-10 天缩短至 4 天。本研究旨在介绍 ERAS 原则在我院的应用，并评估其对住院时间、术后并发症和出院后生活质量的影响。
选择 2000 年 10 月至 2003 年 2 月在豪克兰大学医院和豪格松医院连续就诊的 94 例患者，其中男 40 例，女 54 例，中位年龄 66 岁。在为期 3 个月的准备阶段后，实施 ERAS 原则。通过问卷调查和术后 8-10 天和 30 天的随访评估结果。将结果与加速康复前的结直肠手术结果进行比较。
采用 ERAS 后，45 例（48%）和 73 例（78%）患者在术后 3 天和 5 天内出院，而传统康复组无患者在术后 3 天内出院，仅 7 例（5%）患者在术后 5 天内出院。ERAS 组的并发症发生率为 31%，再入院率为 15%。术后 1 周，57%的患者恢复了日常家庭活动。术后 30 天，65%的患者恢复了正常和休闲活动。
在适当的准备阶段后，外科部门可以实施 ERAS 原则，这将导致结直肠手术后的中位住院时间缩短，大多数患者能够迅速恢复正常的日常活动。
