Cardiothoracic & vascular anesthesia
Efficacy of enhanced recovery programmes for cardiac surgery: a systematic review and meta-analysis
Pooled result · Hospital LOSResult — go to the resultMean difference −1.40 days 95% CI −2.19 to −0.61Authors' conclusion
In cardiac surgery, ERP can reduce LOS in the ICU and hospital and ventilatory time.
Study context
- Population
- Patients undergoing cardiac surgery
- Participants
- 2,625 patients · 18 studies
- Comparison
- ERP or fast-track (FT) programmes vs control in cardiac surgery
- Outcome
- Hospital LOS
Methodological detailsrandom-effects model, PRISMA
- Random-effects model
- PRISMA
Pooled result
As reported in the abstract
Mean difference
−1.40 days
95% CI −2.19 to −0.61
P = 0.001
ERP or FT vs Control
mean difference −1.40 days (95% CI −2.19 to −0.61); P = 0.001
Further pooled results
| Outcome | Mean difference (h) (95% CI) | P value | |
|---|---|---|---|
| ICU LOS | −13.22 (−21.75 to −4.68) | P = 0.006 | |
| Ventilation time | −4.68 (−7.85 to −1.52) | P = 0.008 | |
| −30−20−10010Difference, h (linear scale) |
| Outcome | Mean difference (days) (95% CI) | |
|---|---|---|
| Hospital LOS, ERP vs FT (subgroup)FT vs Control | −0.30 (−0.88 to 0.27) | |
| −1−0.500.5Difference, days (linear scale) |
| Outcome | Mean difference (days) (95% CI) |
|---|---|
| Hospital LOS, ERP vs FT (subgroup)ERP vs Control | 2.11 (−3.52 to 0.71) |
- Hospital length of stay (LOS), ERP vs FT (subgroup) — ERP demonstrated an additive value above FT for hospital LOS
- P=0.003
Original publication
Efficacy of enhanced recovery programmes for cardiac surgery: a systematic review and meta-analysis. Br J Anaesth. Published 25 April 2025. doi:10. 1016/ j. bja. 2025. 03. 019
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