Cardiothoracic & vascular anaesthesia
Effect of postoperative enhanced recovery program care compared to conventional care following aortic valve replacement: A retrospective analysis
Authors' conclusion
Compared with conventional ICU, PACU-ERP care was associated with a significant reduction in hospital LOS in low-risk patients undergoing AVR.
Study context
- Population
- Patients undergoing aortic valve replacement (AVR) with EuroSCORE II =3 and BMI <40, admitted postoperatively to postanaesthesia care unit (PACU) or intensive care unit (ICU), 2011–2020
- Participants
- 751 patients
- Exposure
- PACU care with postoperative enhanced recovery program (ERP) interventions vs conventional ICU care
- PACUn = 345
- ICUn = 406reference
- Outcome
- Hospital length of stay (LOS)
Methodological detailsCox proportional hazards regression adjusted for BMI, EuroSCORE II and surgical access, single-centre
- Cox proportional hazards regression adjusted for BMI, EuroSCORE II and surgical access
- Single-centre
Main finding
As reported in the abstract
Hazard ratio
1.68
95% CI 1.46–1.92
P < 0.0001
By group
PACU vs ICU
HR 1.68 (95% CI 1.46–1.92); P < 0.0001
Observational data: associations, not effects.
Further findings
Mortality
P = 0.51
Removal of catheters, tube and drains
- Earlier removal in PACU patients
Safety
Reintervention
P = 0.39
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Effect of postoperative enhanced recovery program care compared to conventional care following aortic valve replacement: A retrospective analysis. Eur J Anaesthesiol Intensive Care. Published 18 May 2026. doi:10.
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