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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Enhancing Patient Outcomes with Enhanced Recovery After Surgery (ERAS) Protocols

Pradeep Sopan Shivsharan, Ajinkya Irape, Prathamesh Chandrapattan and Vinit Birajdar
Page: 324-328 | Received 17 Jul 2024, Published online: 08 Sep 2024

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Abstract

Enhanced Recovery After Surgery (ERAS) protocols aim to improve surgical outcomes through a multimodal, evidence‐based approach. This study evaluates the effectiveness of ERAS protocols in enhancing patient outcomes compared to traditional care in a tertiary hospital setting. A retrospective observational study was conducted involving 140 patients undergoing major surgeries, divided equally into two groups: those receiving ERAS protocols and those receiving traditional care. Outcomes measured included pain management, speed of recovery, incidence of postoperative complications, length of hospital stay and rates of rehospitalization. Patients in the ERAS group showed significant improvements in pain management (65 vs. 50, OR 2.2, P=0.001), faster return to normal diet (62 vs. 45, OR 2.3, P=0.002) and reduced postoperative ileus (56 vs. 30, OR 3.4, P=0.0001). Recovery rates were also notably higher in the ERAS group, with significant differences in early ambulation and reduced narcotic use. The incidence of complications was lower in the ERAS group, with reduced surgical site infections (5 vs. 15, OR 0.3, P=0.03), pulmonary complications (4 vs. 20, OR 0.2, P=0.01) and renal complications (3 vs. 10, OR 0.3, P=0.05). Additionally, the average hospital stay was shorter (4.5 days vs. 6.5 days) and rehospitalization within 30 days was less frequent (5.7% vs. 17.1%, OR 0.3, P=0.02). Conclusion: The implementation of ERAS protocols significantly enhanced postoperative outcomes, demonstrating a clear benefit in pain management, recovery rates, and reduction in complications and hospital stay. These findings support the broader adoption of ERAS protocols in surgical practices to improve patient care and resource utilization.


How to cite this article:

Pradeep Sopan Shivsharan, Ajinkya Irape, Prathamesh Chandrapattan and Vinit Birajdar. Enhancing Patient Outcomes with Enhanced Recovery After Surgery (ERAS) Protocols.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.324.328
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.324.328