Enhanced Recovery, Fast Track
Conditions
Keywords
Colorectal surgery, multimodal rehabilitation, fast track, early feeding
Brief summary
Introduction: Multimodal rehabilitation (MMR), combines various elements in the management of the surgical patient which lead to a decrease in surgical stress and a more comfortable and faster postoperative recovery. Objective: To assess the introduction of MMR in a specialized Colorectal Unit and compare the results with the traditional model assessing its´ efficacy as to recovery, and reduction of hospital stay and costs.
Detailed description
Materials y Methods: A prospective randomized trial was conducted which analyzed 119 patients who underwent elective colorectal surgery between 2009 and 2010. 58 patients were assigned to the traditional group and 61 patients to the MMR group. MMR included preoperative education, early feeding and mobilisation.
Interventions
Sponsors
University of Valencia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who underwent elective colorectal surgery between 2009 and 2010. * Signed informed consent * Live in Valencia metropolitan area
Exclusion criteria
* Emergency surgery * No colonic resection * Unable to continue follow-up * Dependent on others for daily activities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative stay | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications | 18 months |
Outcome results
None listed