The accumulation of ERAS (enhanced recovery after surgery) components reduces post-colectomy length of stay at small and low volume hospitals

Carla F Justiniano; Anthony Loria; Nicholas J Hellenthal; Matthew P Schiralli; Flavia C Soto; Jeffrey B Albright; LouAnne Giangreco; Larissa K Temple; Fergal J Fleming; UNYSQI Collaborative

doi:10.1016/j.amjsurg.2021.07.004

The accumulation of ERAS (enhanced recovery after surgery) components reduces post-colectomy length of stay at small and low volume hospitals

Am J Surg. 2022 Apr;223(4):744-752. doi: 10.1016/j.amjsurg.2021.07.004. Epub 2021 Jul 7.

Authors

Carla F Justiniano¹, Anthony Loria², Nicholas J Hellenthal³, Matthew P Schiralli⁴, Flavia C Soto⁵, Jeffrey B Albright⁵, LouAnne Giangreco⁶, Larissa K Temple², Fergal J Fleming²; UNYSQI Collaborative

Affiliations

¹ Surgical Health Outcomes & Research Enterprise, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA. Electronic address: [email protected].
² Surgical Health Outcomes & Research Enterprise, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
³ Department of Surgery, Bassett Medical Center, Cooperstown, NY, USA.
⁴ Department of Surgery, Rochester Regional Health, Rochester, NY, USA.
⁵ Department of Surgery, State University of New York Upstate Medical Center, Syracuse, NY, USA.
⁶ Cayuga Medical Center, Ithaca, NY, USA.

PMID: 34311949
DOI: 10.1016/j.amjsurg.2021.07.004

Abstract

In small hospitals, where the majority of colectomy surgery is performed in the United States, adopting more individual ERAS components improves outcomes. The accumulation of individual ERAS components influences outcome more than an "ERAS designation" and this can be used by small hospitals to improve outcomes.

Keywords: Colectomy; Enhanced recovery after surgery; Improved length of stay; Non-academic hospitals; Small hospitals; Surgical collaborative.

MeSH terms

Colectomy
Enhanced Recovery After Surgery*
Guideline Adherence
Hospitals, Low-Volume
Humans
Length of Stay
Postoperative Complications