Perioperative medicine & outcomes
Effect of Enhanced Recovery After Surgery (ERAS) Programs on Perioperative Outcomes in Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis
Pooled result · Hospital LOSResult — go to the resultReduction in hospital stay 1.24 days 95% CI −1.67 to −0.82Authors' conclusion
Although ERAS programs were associated with a reduction in hospital stay and no differences in mortality or atrial fibrillation, the quality of the evidence was very low.
Study context
- Population
- Adults undergoing elective cardiac surgery18 studies, 1 RCT
- Participants
- 4,469 adults
- Comparison
- ERAS programs vs no ERAS in cardiac surgery
- Outcome
- Hospital LOS, mortality, AF and quality of life
Methodological detailsrandom-effects model, preregistered protocol (Open Science Framework), Quality of evidence very low
- Random-effects model
- Preregistered protocol (Open Science Framework)
- Quality of evidence very low
Pooled result
Hospital LOS
Reduction in hospital stay
1.24 days
95% CI −1.67 to −0.82
P < 0.001
As reported in the abstract
Further pooled results
Mortality
- No difference between the groups in mortality
- OR 0.65 (95% CI 0.28, 1.48, p = 0.3)
- Random-effects model
- I2 = 0%
AF incidence
- No difference between the groups in AF incidence
- OR 0.77 (95% CI 0.57, 1.03, p = 0.08)
- Random-effects model
- I2 = 17%
Quality of life
- Meta-analysis not feasible due to insufficient data
Original publication
Effect of Enhanced Recovery After Surgery (ERAS) Programs on Perioperative Outcomes in Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis. J Cardiothorac Vasc Anesth. Published 30 January 2025. doi:10. 1053/ j. jvca. 2025. 01. 036
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