Perioperative medicine & outcomes
Enhanced Recovery Protocols Reduce Mortality Across Eight Surgical Specialties at Academic and University-affiliated Community Hospitals
Authors' conclusion
ERPs improve short and long-term mortality, clinical outcomes, length of stay, and discharge disposition to home.
Study context
- Population
- Adults undergoing nonemergent, major orthopedic or abdominal surgery (hip/knee replacement, hepatobiliary, colorectal, gynecology oncology, bariatric, general, urological) in 5 academic and community hospitals within a single health system3,367 ERP patients matched
- Participants
- 9,492 adults
- Comparison
- Simplified ERP vs pre-implementation control
- ERPn = 5,185
- Controln = 4,307reference
- Outcome
- Short and long-term mortality
- Follow-up
- 30 day, 1-year, 2-year
Methodological detailspropensity-matched, multicentre, before-after implementation
- Propensity-matched
- Multicentre
- Before-after implementation
Main finding
As reported in the abstract
Mortality
- 30-day mortality: ERP 0.2% vs control 0.6% (P = 0.002)
- 1-year mortality: ERP 3.9% vs control 5.1% (P < 0.0001)
- 2-year mortality: ERP 6.2% vs control 9.0% (P < 0.0001)
- Propensity-matched
Observational data: associations, not effects.
Further findings
LOS
P < 0.0001
Discharge to a facility
P < 0.0001
30-day readmission
- No significant difference
Safety
| Outcome | P value |
|---|---|
| Complications | P < 0.02 |
Complications
- All complications except VTE significantly reduced in ERP
Original publication
Enhanced Recovery Protocols Reduce Mortality Across Eight Surgical Specialties at Academic and University-affiliated Community Hospitals. Ann Surg. Published 18 November 2020. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →