Kapritsou Maria, Korkolis Dimitrios P, Giannakopoulou Margarita, Kaklamanos Ioannis, Konstantinou Maria, Katsoulas Theodoros, Kiekkas Panagiotis, Konstantinou Evangelos A
Maria Kapritsou, PhD, RN, is with Hellenic Anticancer Institute, "Saint Savvas" Hospital, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece. Dimitrios P. Korkolis, PhD, MD, is Consultant Surgeon, Hellenic Anticancer Institute, "Saint Savvas" Hospital, Athens, Greece. Margarita Giannakopoulou, BSc, PhD, RN, is Professor, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece. Ioannis Kaklamanos, PhD, MD, is Associate Professor, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece. Maria Konstantinou, MSc Statistician, GIS, is Statistician, GIS AUEB, Utrecht University (UU), Athens, Greece. Theodoros Katsoulas, PhD, RN, is Assistance Professor, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece. Panagiotis Kiekkas, PhD, RN, is with Department of Anesthesiology, General University Hospital of Patras, Patras, Greece. Evangelos A. Konstantinou, MSc, PhD, RN, is Professor of Nursing Anesthesiology, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
Gastroenterol Nurs. 2018 Mar/Apr;41(2):104-110. doi: 10.1097/SGA.0000000000000306.
The objective of this study was to compare fast-track (FT) recovery protocol with the conventional one in patients treated with major liver resection by evaluating perioperative morbidity, length of hospitalization, and readmission rate. Sixty-two patients suffering from malignant liver tumors were surgically treated from May 2012 to April 2014. After randomization, they were prospectively divided into two groups: Group A patients (n = 32) followed FT recovery protocol and Group B patients (n = 30) were treated with the conventional (CON) protocol. Postoperative morbidity, readmission rate, and median hospital stay in the two groups were studied. Fast-track protocol was associated with a decreased complication (25%, p = .002), whereas the risk of postoperative morbidity was 2.4 times higher in patients treated with the CON protocol (60%, p = .002). Readmission rate was not significantly different between the two groups (6.25%, p = .35). Age (p = .382) and body mass index (p = .818) were not a suspending factor for following the FT protocol. Overall length of stay (postoperative days) in the FT group was (mean ± SD) 5.75 ± .5 and in the CON group was 13.5 ± 6.7 (p < .001). Fast-track recovery protocol seems to be safe and particularly efficient in patients undergoing major liver resections.
本研究的目的是通过评估围手术期发病率、住院时间和再入院率，比较快速康复（FT）方案与传统方案在接受大肝切除术患者中的效果。2012年5月至2014年4月，对62例患有恶性肝肿瘤的患者进行了手术治疗。随机分组后，将他们前瞻性地分为两组：A组患者（n = 32）遵循FT康复方案，B组患者（n = 30）采用传统（CON）方案治疗。研究了两组的术后发病率、再入院率和中位住院时间。快速康复方案与并发症减少相关（25%，p = .002），而采用CON方案治疗的患者术后发病风险高2.4倍（60%，p = .002）。两组的再入院率无显著差异（6.25%，p = .35）。年龄（p = .382）和体重指数（p = .818）不是遵循FT方案的阻碍因素。FT组的总体住院时间（术后天数）为（均值±标准差）5.75±.5，CON组为13.5±6.7（p < .001）。快速康复方案在接受大肝切除术的患者中似乎是安全且特别有效的。
