Analysis of the ‘Evaluation Indicators’ of an Enhanced Recovery After Bariatric Surgery Pathway in the First Six Months After Implementation
View/ Open
Impact
Scholar |
Other documents of the author: Gimeno-Moro, Ana M.; Errando, Carlos Luis; Escrig-Sos, Vicente J.; LAGUNA SASTRE, JOSE MANUEL
Metadata
Show full item recordcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/36080
comunitat-uji-handle3:10234/36082
comunitat-uji-handle4:
INVESTIGACIONMetadata
Title
Analysis of the ‘Evaluation Indicators’ of an Enhanced Recovery After Bariatric Surgery Pathway in the First Six Months After ImplementationAuthor (s)
Date
2021-04-10Publisher
Springer NatureISSN
0960-8923; 1708-0428Bibliographic citation
Gimeno-Moro, A.M., Errando, C.L., Escrig-Sos, V.J. et al. Analysis of the ‘Evaluation Indicators’ of an Enhanced Recovery After Bariatric Surgery Pathway in the First Six Months After Implementation. OBES SURG 31, 2551–2566 (2021). https://doi.org/10.1007/s11695-021-05274-4Type
info:eu-repo/semantics/articleVersion
info:eu-repo/semantics/publishedVersionSubject
Abstract
The implementation of a clinical pathway in bariatric surgery (BS) might facilitate systemic care. Focusing on enhanced recovery after surgery (ERAS) programs may also improve surgical outcomes depending on the degree ... [+]
The implementation of a clinical pathway in bariatric surgery (BS) might facilitate systemic care. Focusing on enhanced recovery after surgery (ERAS) programs may also improve surgical outcomes depending on the degree of adherence achieved. We hypothesized that the implementation of an ERAS clinical pathway in BS (ERABS) improves clinical outcomes compared to traditional treatment in a tertiary care hospital. The main objective was to assess the degree of adherence to the ERABS program. Secondary objectives were to evaluate compliance with the quality indicators of the Spanish Society for Obesity Surgery (SECO) and overall patients’ satisfaction. A retrospective observational study was designed. Data from patients who underwent BS into an ERABS context were reviewed and compared with traditionally treated patients. Process and outcomes indicators adapted from RICA (Recuperación Intensificada en Cirugía Abdominal) pathway, degree of compliance with SECO quality indicators and patients’ satisfaction were analyzed. Forty-three patients were included per group. Indicators' compliance rate per patient was 83.23%. Differences were found in postoperative bleeding, immediate morbidity and overall morbidity, but not in severity of complications. No patient felt dissatisfied or unsatisfied. Average compliance with indicators of process and outcome was 90.45%. Overall morbidity in ERABS group did not differ from that recommended by SECO, but traditional group did show significant increase. Adherence was 83.63% and overall incidence of complications was 7%. Our study shows improved clinical outcomes in ERABS group with a high degree of adherence. Quality indicators were met, improving overall morbidity with no difference in the severity of complications. [-]
Is part of
Obesity Surgery, 31 (2021)Funder Name
Ilustre Colegio de Médicos de la Provincia de Castellón
Project title or grant
beca 'Dr. Vicente Altava 2019'
Rights
http://rightsstatements.org/vocab/CNE/1.0/
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
This item appears in the folowing collection(s)
- MED_Articles [669]