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La base científica de los protocolos ERAS® [The Science behind ERAS®]
Örebro University, School of Medical Sciences. Örebro University Hospital.ORCID iD: 0000-0003-2636-4745
2021 (Spanish)In: Revista Argentina de Cirugia, ISSN 0048-7600, Vol. 113, no 2, p. 149-158Article in journal (Refereed) Published
Abstract [en]

In this paper the principles of Enhanced Recovery After Surgery (ERAS) and how it is rooted in the medical sciences is reviewed and how ERAS has been developed by the ERAS Study Group and later by the ERAS®Society (www.erassociety.org). ERAS represents a formula for developing perioperative care pathways for patients undergoing surgery based on the medical literature. Expert groups review the medical literature and assembles care elements that have scientific data to show beneficial effects for recovery. By assembling multiple care elements all shown to improve outcomes, a Guideline is created from which a care pathway can be built. The Guideline is later tested in clinical practice to evaluate its effectiveness by studying compliance to the guideline care elements related to key clinical outcomes. Several ERAS®Society Guidelines have been proven to improve outcomes both with regard to complications and in hospital recovery and discharge. A growing number of reports are showing an association between improved compliance to guidelines and long term survival after surgery. Another aspect of the science behind ERAS are studies suggesting that the clinical effects are achieved by modulating various © 2021 Argentine Association of Surgery.

Place, publisher, year, edition, pages
Argentine Association of Surgery , 2021. Vol. 113, no 2, p. 149-158
Keywords [en]
Enhanced, Enhanced recovery after surgery, ERAS, Postsurgical recovery
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-110544DOI: 10.25132/raac.v113.n2.eras01ol.eiScopus ID: 2-s2.0-85114739187OAI: oai:DiVA.org:oru-110544DiVA, id: diva2:1822666
Available from: 2023-12-27 Created: 2023-12-27 Last updated: 2024-01-10Bibliographically approved

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Ljungqvist, Olle

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