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01.11.2008 | Original Contribution

Fast-Track Surgery May Reduce Complications Following Major Colonic Surgery

verfasst von: Kamran Zargar-Shoshtari, M.B.Ch.B., Andrew B. Connolly, M.B.Ch.B., F.R.A.C.S., Lincoln H. Israel, M.B.Ch.B., F.R.A.C.S., Andrew G. Hill, M.D., F.R.A.C.S.

Erschienen in: Diseases of the Colon & Rectum | Ausgabe 11/2008

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Abstract

Purpose

Fast-track (enhanced recovery) care pathways for colonic surgery are becoming increasingly popular; however, there have been concerns regarding protocol compliance, high readmission rates, and also the true impact on morbidity rates with these protocols. This study was conducted to assess the impact of a fast-track program for colonic surgery on hospital stay, complications, and readmission rates.

Methods

From December 2005 to March 2007, consecutive patients undergoing colonic surgery were prospectively studied. The comparison group consisted of a comorbidity-matched group of patients who had undergone similar surgery before establishment of the fast-track program.

Results

Fifty patients were included in each group. Groups were comparable at baseline. The fast-track group received significantly smaller amounts of intraoperative and postoperative intravenous fluids, were fed earlier, mobilized earlier, passed flatus earlier, and were discharged earlier than the comparison group (4 vs. 6.5 days, P < 0.001). The numbers of patients with urinary infections (2 vs. 12, P = 0.008), ileus (5 vs. 18, P = 0.005), and cardiopulmonary complications (11 vs. 21, P = 0.032) were significantly lower in the fast-track group. There was no difference in the rate of readmission.

Conclusion

Fast-track is a safe and effective approach for reducing hospital stay and morbidity following major colonic surgery.

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Titel: Fast-Track Surgery May Reduce Complications Following Major Colonic Surgery
verfasst von: Kamran Zargar-Shoshtari, M.B.Ch.B.
Andrew B. Connolly, M.B.Ch.B., F.R.A.C.S.
Lincoln H. Israel, M.B.Ch.B., F.R.A.C.S.
Andrew G. Hill, M.D., F.R.A.C.S.
Publikationsdatum: 01.11.2008
Verlag: Springer-Verlag
Erschienen in: Diseases of the Colon & Rectum / Ausgabe 11/2008
Print ISSN: 0012-3706
Elektronische ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-008-9386-1

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Abstract

Purpose

Methods

Results

Conclusion

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