Perioperative medicine & outcomes
Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality: A Meta-Analysis of Randomized Clinical Trials
An erratum to this article was published (JAMA Netw Open, 1 Jul 2024 ↗)
Authors' conclusion
In this meta-analysis, ERAS guidelines were associated with decreased hospital length of stay and complications.
Study context
- Population
- Patients undergoing surgery (9 enhanced recovery after surgery (ERAS)-guided surgical procedures, 21 countries)
- Participants
- 9,076 patients · 74 RCTs
- Comparison
- ERAS-guided surgery vs usual surgical care
- Outcome
- Hospital LOS, hospital readmission within 30 days of index discharge, 30-day postoperative complications, and 30-day postoperative mortality
Methodological detailsrandom-effects meta-analysis, meta-regression, 15 (20.3%) studies at low risk of bias, Mean (SD) RECOvER checklist score 13.5 (2.3)
- Random-effects meta-analysis
- Meta-regression
- 15 (20.3%) studies at low risk of bias
- Mean (SD) RECOvER checklist score 13.5 (2.3)
Pooled result
As reported in the abstract
ERAS vs Usual surgical careRelative risk (complications) (95% CI)P value
I2 = 78.6%
0.71(0.59–0.87)
P < 0.001- I2 = 86.5%
- decrease in hospital LOS 1.88 days (95% CI 0.95–2.81); P < 0.001
Original publication
Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality: A Meta-Analysis of Randomized Clinical Trials. JAMA Netw Open. Published 3 June 2024. doi:10.
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