Perioperative medicine & outcomes
Clinical Impact of an Enhanced Recovery Program for Lower-extremity Bypass
Authors' conclusion
This is the largest single-center cohort study evaluating ERP in LEB, showing that ERP implementation is associated with shorter LOS and improved perioperative outcomes.
Study context
- Population
- Patients undergoing lower-extremity bypass (LEB)
- Participants
- 393 patients
- Exposure
- ERAS program vs pre-ERP care
- Enhanced Recovery Program (ERP)n = 232
- Pre-ERPn = 161reference
- Outcome
- Length of stay (LOS) and perioperative outcomes
Methodological detailssingle-centre, before-after (pre-ERP vs ERP)
- Single-centre
- Before-after (pre-ERP vs ERP)
Main finding
As reported in the abstract
Total LOS
P = 0.01
Observational data: associations, not effects.
Further findings
Postoperative LOS
P < 0.001
Postoperative LOS, claudication (subgroup)
P = 0.01
Postoperative LOS, rest pain (subgroup)
P = 0.02
30-day readmission, rest pain (subgroup)
P = 0.02
Direct discharge to home
P = 0.002
Median
| Outcome | ERP | Pre-ERP | P value |
|---|---|---|---|
| Postoperative LOS, tissue loss (subgroup) | P = 0.03 | ||
| Total LOS, rest pain (subgroup) | P = 0.04 | ||
| Average daily oral MME | 44.12 (IQR 22.2–74.4) | 52.5 (IQR 26.6–105.0) | P = 0.019 |
Original publication
Clinical Impact of an Enhanced Recovery Program for Lower-extremity Bypass. Ann Surg. Published 23 January 2024. doi:10.
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