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A PROSPECTIVE STUDY ON THE INFLUENCE OF A FAST‐TRACK PROGRAMME ON POST OPERATIVE FATIGUE AND FUNCTIONAL RECOVERY AFTER MAJOR COLONIC SURGERY
Author(s) -
Zargar Shoshtari K.,
Paddison J. S.,
Booth R. J.,
Hill A. G.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.04915_18.x
Subject(s) - medicine , fast track , prospective cohort study , ileus , surgery , urinary system , colorectal surgery , abdominal surgery
Enhanced Recovery After Surgery (ERAS) programmes have demonstrated significant reduction in hospital stay for patient undergoing colonic surgery, however their impact on long term outcomes such as Post Operative Fatigue (POF) has not been fully established. Aim: To assess the impact of an ERAS programme on POF and recovery following elective open colonic surgery. Method: In a prospective study, 26 consecutive patients undergoing open colonic surgery under a conventional care plan were compared to 26 consecutive patients in an ERAS programme. Results: Demographic and clinical characteristics were comparable at baseline. The median duration of total hospital‐stay (4 v 7 days p < 0.001), rates of urinary‐tract infections (p = 0.028) and ileus (p = 0.042) were significantly smaller in the ERAS group. Postoperatively, POF significantly increased in both groups. However peak POF score was significantly lower in the ERAS group (p = 0.001). In the first 30 days after surgery, Fatigue Consequence scores were also significantly smaller in the ERAS group. Overall, the total fatigue experience (p = 0.035) and the total fatigue impact (p = 0.005) were significantly smaller in the ERAS group. Conclusion: The impact of ERAS programmes may extend beyond the commonly reported short term outcomes and ERAS may accelerate overall recovery and return to normal function.