Use of surgical pathways to improve patient recovery following surgery on the stomach/intestines

Enhanced Recovery After Surgery reduced length of stay after colorectal surgery in a small rural hospital in Ontario

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN39272581

Enrollment

Registered

2022-06-16

Start date

2015-05-01

Completion date

Unknown

Last updated

2023-06-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Implementation of ERAS for colorectal surgery Surgery

Interventions

ERAS preoperative procedures that focus on patient engagement and optimal preparation for their surgical procedure in four key areas

breathing (smoking cessation), movement (exercise), nutrition and expectations (clear surgery date). Intraoperatively the patient is maintained at the ideal anaesthesia depth, have active warming, and

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: All patients undergoing gastrointestinal surgery for cancer, fistula, lesion repair, diverticulitis, polyp repair, prolapse

Exclusion criteria

Exclusion criteria: Significant complications postoperatively as noted by the physician

Design outcomes

Primary

Measure	Time frame
Length of stay for surgery (nights in hospital) collected from patient chart	—

Secondary

Measure	Time frame
1. Total number of ileus compared to retrospective data: yes or no (present or not) based on surgeon assessment and notes up to 30 days post-operative 2. Total number of wound infections compared to retrospective data: yes or no noted in the patient chart by the nurse caring for the patient up to 30 days post-operative 3. Total number of dehiscence compared to retrospective data: yes/no noted in chart up to 30 days post-operative 4. Total number of deep vein thrombosis compared to retrospective data: yes/no noted in chart up to 30 days post-operative 5. Total number of patients with anastomotic leak compared to retrospective data: yes/no noted in chart up to 30 days post-operative 6. Total number of patients who develop pneumonia compared to retrospective data measured using patient charts up to 30 days post-operative 7. Total number of patients reporting/demonstrating nausea/vomiting compared to retrospective data noted in patient chart until discharge 8. Total number of patients experiencing urinary retention compared to retrospective data: yes/no noted in the patient chart until discharge 9. Total number of patients experiencing wound infection - yes/no noted in chart up to 30 days post-operative 10. Total number of patients experiencing readmission: yes/no noted in chart up to 30 days post-operative 11. Pain assessed using a visual analog scale at baseline (within 3 hours of surgery) and on each day in hospital am and pm until discharge	—

Measure

Time frame

1. Total number of ileus compared to retrospective data: yes or no (present or not) based on surgeon assessment and notes up to 30 days post-operative 2. Total number of wound infections compared to retrospective data: yes or no noted in the patient chart by the nurse caring for the patient up to 30 days post-operative 3. Total number of dehiscence compared to retrospective data: yes/no noted in chart up to 30 days post-operative 4. Total number of deep vein thrombosis compared to retrospective data: yes/no noted in chart up to 30 days post-operative 5. Total number of patients with anastomotic leak compared to retrospective data: yes/no noted in chart up to 30 days post-operative 6. Total number of patients who develop pneumonia compared to retrospective data measured using patient charts up to 30 days post-operative 7. Total number of patients reporting/demonstrating nausea/vomiting compared to retrospective data noted in patient chart until discharge 8. Total number of patients experiencing urinary retention compared to retrospective data: yes/no noted in the patient chart until discharge 9. Total number of patients experiencing wound infection - yes/no noted in chart up to 30 days post-operative 10. Total number of patients experiencing readmission: yes/no noted in chart up to 30 days post-operative 11. Pain assessed using a visual analog scale at baseline (within 3 hours of surgery) and on each day in hospital am and pm until discharge

—

Countries

Canada

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026