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优化术后结果:评估普通外科患者中增强术后恢复 (ERAS) 方案的效果。

OPTIMIZING POSTOPERATIVE OUTCOMES: ASSESSING THE EFFECT OF ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOLS IN GENERAL SURGICAL PATIENTS.

机构信息

Jinnah International Hospital Abbottabad.

Abbottabad International Hospital Abbottabad.

出版信息

J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):359-363. doi: 10.55519/JAMC-02-13470.

DOI:10.55519/JAMC-02-13470
PMID:39609981
Abstract

BACKGROUND

Enhanced Recovery After Surgery (ERAS) protocols were progressively implemented to advance postoperative results in various surgical specialties. However, their effectiveness in general surgical patients remains underexplored. This study intended to assess impact of ERAS protocols on postoperative results in general surgical patients at Jinnah International Hospital Abbottabad (JIHA).

METHODS

A retrospective cohort study was conducted at Jinnah International Hospital Abbottabad from May 2023 to April 2024. A total of 120 general surgical patients who underwent procedures under ERAS protocols were related with a historical control group who received conventional perioperative care. Data on perioperative variables, postoperative complications, length of hospital stay, and readmission rates were collected and analyzed.

RESULTS

Implementation of ERAS protocols resulted in significantly decreased postoperative complications (p<0.05), shorter length of hospital stay (p<0.001), and lower readmission rates (p<0.01) compared to conventional perioperative care. Patients in the ERAS group experienced improved recovery trajectories and enhanced overall postoperative outcomes.

CONCLUSIONS

The results of the study demonstrate beneficial impact of implementing ERAS protocols in general surgical patients at Jinnah International Hospital Abbottabad. Adoption of ERAS protocols can lead to enhanced postoperative recovery, reduced complications, and shorter hospital stays, ultimately optimizing patient outcomes.

摘要

背景

加速康复外科(ERAS)方案逐渐在多个外科专业中实施,以改善术后结果。然而,它们在普通外科患者中的有效性仍未得到充分探索。本研究旨在评估 ERAS 方案在 Abbottabad 的 Jinnah International Hospital(JIHA)普通外科患者中的术后效果。

方法

这是一项在 Abbottabad 的 Jinnah International Hospital 进行的回顾性队列研究,时间为 2023 年 5 月至 2024 年 4 月。共有 120 名接受 ERAS 方案下手术的普通外科患者与接受常规围手术期护理的历史对照组相关。收集并分析了围手术期变量、术后并发症、住院时间和再入院率的数据。

结果

与常规围手术期护理相比,实施 ERAS 方案后,术后并发症显著减少(p<0.05),住院时间缩短(p<0.001),再入院率降低(p<0.01)。ERAS 组的患者恢复轨迹更好,整体术后结果得到改善。

结论

该研究结果表明,在 Abbottabad 的 Jinnah International Hospital 实施 ERAS 方案对普通外科患者具有有益的影响。采用 ERAS 方案可以促进术后恢复、减少并发症和缩短住院时间,从而优化患者的预后。

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