Featured Research

from universities, journals, and other organizations

Enhanced recovery program following colorectal surgery at community hospitals

Date:
July 23, 2014
Source:
The JAMA Network Journals
Summary:
An enhanced recovery program for patients after colorectal surgery appears to be feasible in a community hospital setting after having been shown to be successful in international and academic medical centers. "We have demonstrated with this study that a colorectal ERAS program can be effectively applied to and integrated within a community hospital setting," researchers noted.

An enhanced recovery program for patients after colorectal surgery appears to be feasible in a community hospital setting after having been shown to be successful in international and academic medical centers.

Related Articles


The fundamental aspects of enhanced recovery after surgery (ERAS) programs are guidelines that focus on patient education, optimal fluid management, minimal incision length, decreased use of tubes and drains, opioid-sparing analgesia, and early mobilization and eating after surgery. Most of the literature on ERAS programs is from international or specialized academic centers. The feasibility of such a program in a community hospital setting is largely unknown.

The authors examined an ERAS program at a community hospital in Oregon. They examined practice patterns and patient outcomes for all elective colon and rectal resection cases done in 2009 (prior to ERAS implementation), 2011 and 2012. A total of 244 patients met the criteria to be included and the number of elective colorectal resections in 2009, 2011 and 2012 were 68, 96 and 80, respectively.

From 2009 to 2012, the use of laparoscopy increased from 57.4 percent to 88.8 percent, length of stay decreased (6.7 days vs. 3.7 days) without an increase in the 30-day readmission rate (17.6 percent vs. 12.5 percent), use of patient-controlled narcotic analgesia and duration of use decreased (63.2 percent of patients vs. 15 percent and 67.8 hours vs. 47.1 hours), ileus (defined as reinsertion of nasogastric tube) rate decreased (13.2 percent to 2.5 percent) and intra-abdominal infection decreased from 7.4 percent to 2.5 percent. Reductions in the length of hospital stays resulted in estimated costs savings of $3,202 per patient in 2011 and $4,803 per patient in 2012.

"We have demonstrated with this study that a colorectal ERAS program can be effectively applied to and integrated within a community hospital setting," researchers noted.


Story Source:

The above story is based on materials provided by The JAMA Network Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Cristina B. Geltzeiler, Alizah Rotramel, Charlyn Wilson, Lisha Deng, Mark H. Whiteford, Joseph Frankhouse. Prospective Study of Colorectal Enhanced Recovery After Surgery in a Community Hospital. JAMA Surgery, 2014; DOI: 10.1001/jamasurg.2014.675

Cite This Page:

The JAMA Network Journals. "Enhanced recovery program following colorectal surgery at community hospitals." ScienceDaily. ScienceDaily, 23 July 2014. <www.sciencedaily.com/releases/2014/07/140723162046.htm>.
The JAMA Network Journals. (2014, July 23). Enhanced recovery program following colorectal surgery at community hospitals. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2014/07/140723162046.htm
The JAMA Network Journals. "Enhanced recovery program following colorectal surgery at community hospitals." ScienceDaily. www.sciencedaily.com/releases/2014/07/140723162046.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com
Doctor in NYC Quarantined With Ebola

Doctor in NYC Quarantined With Ebola

AP (Oct. 24, 2014) An emergency room doctor who recently returned to the city after treating Ebola patients in West Africa has tested positive for the virus. He's quarantined in a hospital. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins