Enhanced Recovery After Surgery (ERAS) Protocols on Postoperative Outcomes in Patients Undergoing Major Abdominal Procedures
Impact of Enhanced Recovery After Surgery (ERAS) Protocols on Postoperative Outcomes in Patients Undergoing Major Abdominal Procedures
ERAS protocols are still only partially and unevenly implemented in many hospitals in developing nations, despite substantial worldwide evidence to the contrary. Because of institutional regulations, lack of understanding, or budget constraints, local surgical units frequently stick to traditional perioperative care approaches. Furthermore, there is a dearth of local data assessing the viability and efficacy of ERAS protocols in patients undergoing significant abdominal surgeries in our healthcare settings. Thus, the purpose of this study is to evaluate how ERAS protocols affect the postoperative results of patients having major abdominal surgery at our facility. The study's findings will be useful in determining whether ERAS pathways will assist our patient population heal more quickly, experience fewer issues, and spend less time in the hospital. The results might potentially encourage the use of standardized ERAS procedures in surgical practice, which would enhance patient care and maximize the use of medical resources
調査の概要
詳細な説明
Significant postoperative morbidity, extended hospital stays, delayed recovery, and higher healthcare expenditures are linked to major abdominal surgeries, including colorectal, hepatobiliary, and gastric procedures. Prolonged fasting, copious IV fluids, delayed mobilization, and delayed oral meals are common components of traditional perioperative care, which may raise physiological stress and hinder surgical recovery. Enhanced Recovery After Surgery (ERAS) guidelines have become a contemporary perioperative care strategy in recent years, with the goal of improving surgical outcomes and speeding recovery after major procedures.
In order to reduce surgical stress, maintain physiological function, and encourage early postoperative recovery, ERAS is a multidisciplinary, evidence-based treatment route that incorporates a number of perioperative techniques. Preoperative counseling, reduced fasting with carbohydrate loading, less invasive surgical procedures, multimodal analgesia, early mobilization, early oral feeding introduction, and other coordinated preoperative, intraoperative, and postoperative therapies are all part of these protocols. ERAS protocols have been extensively used in various surgical specialties over the last ten years, especially in colorectal and other significant abdominal procedures. When compared to traditional perioperative treatment, a number of recent research and systematic reviews have shown that ERAS approaches considerably improve postoperative outcomes. Without raising readmission or death rates, ERAS implementation has been linked to fewer postoperative complications, an earlier recovery of bowel function, a shorter hospital stay, and lower healthcare costs
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Muhammad Ali Armughan, MBBS
- 電話番号：03337950197
- メール：armughan915@gmail.com
研究連絡先のバックアップ
- 名前：mudassar saeed pansota, MS urology
- 電話番号：03223044443
- メール：netygeulis749@hotmail.com
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Patients of either gender between the ages of 18 and 70 years.
- Individuals having elective major abdominal surgery (such as small bowel resection, right hemicolectomy, left hemicolectomy, sigmoid colectomy, anterior resection, or similar colorectal resection).
- ASA class I-III patients
Exclusion Criteria:
- Patients who need to stay in the intensive care unit (ICU) after surgery for more than twenty-four hours.
- Individuals suffering from significant organ malfunction, such as advanced heart, liver, or kidney failure.
- Individuals who have had significant abdominal surgery within the recent three months.
- Patients who withdraw their consent or decline to participate in the study
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：エラス
|
Patients managed by the surgical team according to the ERAS pathway will be included in Group A (ERAS group) |
|
プラセボコンパレーター：標準ケア
|
Patients managed according to routine conventional perioperative care during the study period will be included in Group B (conventional care group) |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Rate of Postoperative Complications
時間枠：30 days
|
Surgical site infection: superficial, deep, or organ-space infection diagnosed clinically by the treating surgeon or supported by wound findings, culture results, imaging, or the need for antibiotics or drainage. Anastomotic leak: clinical or radiological evidence of leakage from a surgical anastomosis, including feculent discharge from drain or wound, intra-abdominal collection related to anastomosis, or leak confirmed on imaging or reoperation. Ileus: failure of return of bowel function requiring continued nil per oral status, nasogastric decompression, or delayed oral intake beyond routine postoperative recovery as documented by the surgical team). As recorded in the patient's medical file, complications will be found by radiological results, laboratory tests, and clinical examinations |
30 days
|
|
Mean hospital stay
時間枠：1 week
|
described as the total number of days between the day of surgery and the day of hospital discharge. For every patient, it will be computed in days and documented |
1 week
|
協力者と研究者
捜査官
- 主任研究者：muhammad ali armughan, MBBS、Allama Iqbal Teaching Hospital, DG Khan
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- Allama Iqbal Teaching Hospital
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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