Cardiothoracic & vascular anesthesia
Anatomic Lung Resection Outcomes After Implementation of a Universal Thoracic Enhanced Recovery After Surgery (ERAS) Protocol Across a Diverse Health Care System
Authors' conclusion
Postoperative outcomes were improved after the implementation of an evidence-based thoracic ERAS protocol throughout the health care system.
Study context
- Population
- Patients undergoing elective anatomic lung resection within one health care system, January 2019-March 2023
- Participants
- 1,007 patients
- Exposure
- Post-ERAS vs pre-ERAS implementation of a thoracic ERAS protocol
- post-ERASn = 450
- Outcome
- Overall morbidity
Methodological detailsbefore-after (pre-ERAS vs post-ERAS), multihospital health care system, multivariable logistic regression
- Before-after (pre-ERAS vs post-ERAS)
- Multihospital health care system
- Multivariable logistic regression
Main finding
As reported in the abstract
Any morbidity (risk-adjusted)
- Lower risk-adjusted rate of any morbidity in the post-ERAS group
- P <0.05
Observational data: associations, not effects.
Secondary outcomes
Respiratory complication, pneumonia, surgical site infection, arrhythmias, infections, opioid usage, ICU use, postoperative LOS (risk-adjusted)
- Lower rates of respiratory complication, pneumonia, surgical site infection, arrhythmias, infections, opioid usage, ICU use, and shorter postoperative LOS in the post-ERAS group
- P < 0.05
Original publication
Anatomic Lung Resection Outcomes After Implementation of a Universal Thoracic ERAS Protocol Across a Diverse Health Care System. Ann Surg. Published 22 February 2024. doi:10.
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