Open this publication in new window or tab >>2014 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 93, no 8, p. 749-756Article in journal (Refereed) Published
Abstract [en]
Objective: To study the effects of introducing an Enhanced Recovery After Surgery (ERAS) protocol, modified for gynecological surgery, on length of stay and complications following abdominal hysterectomy.
Design: Observational study.
Setting: Department of Obstetrics and Gynecology, Orebro University Hospital, Sweden.
Population: Eighty-five patients undergoing abdominal hysterectomy for benign or malignant indications between January and December 2012, with or without salpingo-oophorectomy. Outcomes were compared with all consecutive patients who had undergone the same surgery from January to December 2011, immediately before establishing the ERAS protocol (n = 120).
Methods: The ERAS protocol was initiated in January 2012 as part of a targeted implementation program. Data were extracted from patient records and from a specific database.
Main outcome measures: Length of stay and the proportion of patients achieving target length of stay (2 days).
Results: Length of stay was significantly reduced in the study population after introducing the ERAS protocol from a mean of 2.6 (SD 1.1) days to a mean of 2.3 (SD 1.2) days (p = 0.011). The proportion of patients discharged at 2 days was significantly increased from 56% pre-ERAS to 73% after ERAS (p = 0.012). No differences were found in complications (5% vs. 3.5% in primary stay, 12% vs. 15% within 30 days after discharge), reoperations (2% vs. 1%) or readmission (4% vs. 4%).
Conclusions: Introducing the ERAS protocol for abdominal hysterectomy reduced length of stay without increasing complications or readmissions.
Keywords
Fast track, hysterectomy, length of stay, perioperative care, perioperative period
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-36157 (URN)10.1111/aogs.12423 (DOI)000339616100004 ()24828471 (PubMedID)2-s2.0-84904260752 (Scopus ID)
Note
Funding Agency:
Research Committee of Örebro County Council
2014-09-032014-08-282020-12-01Bibliographically approved