Complication of Surgical and Medical Care.
Conditions
Keywords
Fast-tract surgery, Enhanced recovery after surgery, multimodal surgery.
Brief summary
Enhanced Recovery After Surgery (ERAS) programs have been introduced with aims of attenuating the stress response to surgery and enabling rapid recovery. There is strong evidence of the usefulness of the ERAS programs in patients undergoing colorectal surgery in terms of significantly reduced postoperative complications and shorter length of hospital stay, compared to the patients of traditional treatment. However, few studies exist about the implication of ERAS programs in major upper abdominal surgery patients. The aim of this study was to compare morbidity, mortality and length of stay in patients undergoing major intrabdominal surgery, including upper and lower gastrointestinal, receiving either conventional postoperative care or an ERAS program.
Interventions
Patient's education before surgery, early mobilization and oral feeding after surgery, no opioids analgesics.
OTHERTraditional
Nasogastric tube until bowel function, late oral eating, opioid analgesics.
Sponsors
St. Andrew's General Hospital, Patras, Greece
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 89 Years
Healthy volunteers
No
Inclusion criteria
* Elective surgery * ASA grade \< 4
Exclusion criteria
* Emergency surgery * ASA grade \> 3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Morbidity. | 30 days after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Mortality. | 30 days after surgery |
Countries
Greece
Outcome results
None listed