Perioperative medicine & outcomes

A scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa

Perioper Med (Lond)Published Scoping review

Authors' conclusion

Despite the limited number of studies on ERAS implementation in Africa, the available evidence suggests that it reduces the length of hospital stays and mortality rates.

Study context

Population
Studies of ERAS implementation in Africa
Participants
15 eligible studies
Outcome
Reported outcomes of successful ERAS implementation (number of studies)
Methodological detailslibrarian-assisted literature search, summative content analysis, Search of electronic research databases between October and November 2023; 342 potential studies identified
  • Librarian-assisted literature search
  • Summative content analysis
  • Search of electronic research databases between October and November 2023; 342 potential studies identified

Main finding

As reported in the abstract

Reduced hospital LOS

12

Lower mortality rates

3

Improved pain outcomes

7

Further findings

Country of origin of included studies

Egypt
10
South Africa
4
Uganda
1
  • Publication years 2016 to 2023

Reported implementation challenges

Protocol adherence
5
Limitations of the research design to generate strong evidence
3

Recommendations reported by included studies

Formal adoption of ERAS principles
5
Sustained research commitment and exploration of ERAS applicability in diverse surgical contexts
8
Large-scale implementation beyond individual institutions
1

Original publication

A scoping review of Enhanced Recovery After Surgery (ERAS), protocol implementation, and its impact on surgical outcomes and healthcare systems in Africa. Perioper Med (Lond). Published 2 August 2024. doi:10.1186/s13741-024-00435-2

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