Current and future implementation of ERAS pathways
Said Abdulrahman Salim Mzee, Ahmed Alfatih, Wang Dao Rong, Muslimat Adebesi Kehinde, Abdul Nazif Mahmud, Aaron Gia Kanton, Zakaria Shaibu, Said Twahir Said, Said Ahmed Said Al-yafawi, Jutamas Phaochomthong
Enhanced recovery after surgery (ERAS) a path which enhances patients’ recovery period using pathways which are not necessarily similar to our normal hospital routine. We have discussed current ERAS pathways and their significance in patients’ early recovery process, we also outlined the challenges, arguments, improvements and future directions which would interpret the future of early patients’ recovery. Methods: 130 patients which performed gastrointestinal surgery were included in our study from the affiliated hospital of Jiangsu university, from 2015.01 to 2019.12. The patients were randomly assigned to either (ERAS) enhanced recovery after surgery or conventional care group. The total number of patient’s gender were 86 male and 44 female patients, all the patients had resect able tumours of the gastrointestinal tract. ERAS patients had a mean age of 65 while conventional group patients had a mean age of 61. Results: Patients in the ERAS group had a reduced length of hospital stay compared to the conventional care group with a (Mean±SMD of 13.56 ± 3.73 and 20.344 ± 11.62 with a p value of < .05) respectively. Cost ERAS (Mean±SMD 6104.28 ± 2028.37) whereas conventional group (Mean±SMD 7361.68 ± 2256.48) Conclusion: ERAS patients had quicker recovery durations and they had low cost compared to the conventional group. Our main conclusion was formulating optimal ERAS protocols on different scenarios after careful screening of the patients.