Effects of “Enhanced Recovery After Surgery” Protocol on Outcome of Surgical Patients

Muhammad Farooq; Muhammad Arif Mahmood; Sajid Razzaq; Maryam Batool; Tufail Hussain Tahir; Sadia Hanif

doi:10.51253/pafmj.v74i4.9276

Authors

Muhammad Farooq Department of ENT, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan
Muhammad Arif Mahmood Department of Surgery, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan
Sajid Razzaq Department of Surgery, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan
Maryam Batool Department of Gynecology & Obstetrics, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan
Tufail Hussain Tahir Department of Urology, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan
Sadia Hanif Department of Gynecology & Obstetrics, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.9276

Keywords:

Enhanced Recovery after Surgery (ERAS) Protocol, Minimal Invasive Surgery, Multi-Modal Non-Opioid Analgesia, Patient Satisfaction.

Abstract

Objective: To provide evidence that application of Enhanced Recovery after Surgery Protocol can promote rapid recovery of surgical patients in addition to reduction of duration of hospital stay.

Study Design: Quasi-experimental study.

Place and Duration of Study: Sheikh Khalifa Bin Zayad Alnayan Hospital, Rawalakot Azad Kashmir Pakistan, from Jan 2019 to Jun 2020.

Methodology: Respondents included 210 surgical patients from discipline of Otorhinolaryngology, General Surgery, Urology, Gynecology and Obstetrics. Patients were randomly divided into two equal groups by odd and even numbers. Group-A included 105 surgical patients who were managed by conventional protocol. Group-B included 105 surgical patients who were managed by Enhanced Recovery after Surgery Protocol.

Results: Enhanced Recovery after Surgery Group (Group-B) was found to have shorter preoperative fasting time (146.4±0.47 vs 633.6±1.55 minutes, p<0.001), reduced postoperative fasting time (139.2±0.41 vs 360±0.09 minutes, p<0.001), less use of intravenous fluid (870±0.5 vs 2480ml, p<0.001) and reduced hospital stay (52.8±0.91 vs 80.16±1.17 hours, p<0.001) as compared to Traditional Group. Compared to traditional group (Group-A), the number of highly satisfied patients were more in Group-B (n-95 or 90.48% vs n-42 or 40%, p-value<0.001). No significant difference was noted in post-operative vomiting, surgical wound infection and rate of re-admission among both groups.

Conclusion: There is a significant reduction in duration of hospital stay and swift recovery after surgery, leading to reductions in treatment cost and resource utilization.

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Author Biographies

Sajid Razzaq, Department of Surgery, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan

Assistant prof surgery

MBBS,FCPS
Maryam Batool, Department of Gynecology & Obstetrics, Combined Military Hospital Rawalakot/National University of Medical Sciences(NUMS) Pakistan

Associate Prof Gynecology & Obstetrics

MBBS,FCPS

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