The ERAS colorectal program, a multidisciplinary effort involving anesthesia, preadmission staff, nursing and surgery staff, was initiated at a community hospital in 2010. It was in full practice by 2011. Researchers assessed practice patterns and patient outcomes for all elective colon and rectal resection cases performed in 2009 — prior to ERAS implementation — and then in 2011 and 2012.
The study results include:
• From 2009 to 2012, the use of laparoscopy increased from 57.4 percent to 88.8 percent, but length of stay decreased from 6.7 days to 3.7 days without an increase in 30-day readmission rates.
• Use of patient-controlled narcotic analgesia decreased from 63.2 percent of patients to 15 percent. Duration of patient-controlled narcotic analgesia use also decreased.
• Intra-abdominal infection decreased from 7.4 percent to 2.5 percent.
• When comparing laparoscopic cases alone, there were no statistically significant differences between colorectal cancer diagnosis and length of stay, 30-day readmission rates, ileus and intra-abdominal infection.
• Length of stay reductions resulted in an estimated cost savings of $4,803 per patient in 2012.
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Study: Multidisciplinary colorectal program in community setting results in shorter hospital stays
Implementation of enhanced recovery after surgery colorectal programs is feasible in a community hospital setting, and it is associated with decreased length of stay without increased readmission or morbidity, according to a study published in JAMA Surgery.
http://archsurg.jamanetwork.com/article.aspx?articleid=1889569&resultClick=3
The ERAS colorectal program, a multidisciplinary effort involving anesthesia, preadmission staff, nursing and surgery staff, was initiated at a community hospital in 2010. It was in full practice by 2011. Researchers assessed practice patterns and patient outcomes for all elective colon and rectal resection cases performed in 2009 — prior to ERAS implementation — and then in 2011 and 2012.
The study results include:
- From 2009 to 2012, the use of laparoscopy increased from 57.4 percent to 88.8 percent, but length of stay decreased from 6.7 days to 3.7 days without an increase in 30-day readmission rates.
- Use of patient-controlled narcotic analgesia decreased from 63.2 percent of patients to 15 percent. Duration of patient-controlled narcotic analgesia use also decreased.
- Intra-abdominal infection decreased from 7.4 percent to 2.5 percent.
- When comparing laparoscopic cases alone, there were no statistically significant differences between colorectal cancer diagnosis and length of stay, 30-day readmission rates, ileus and intra-abdominal infection.
- Length of stay reductions resulted in an estimated cost savings of $4,803 per patient in 2012.
More Articles on Quality:
Illinois hospitals reduce infections, improve quality, save $130M
CDC to host Twitter chat today on infection control, Ebola
Study: Pediatric patients admitted over a weekend have higher mortality rates
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