Evidence map›Paper›PMID 30745609›Full record

ArticleIndian journal of anaesthesia2019

Existing practice of perioperative management of colorectal surgeries in a regional cancer institute and compliance with ERAS guidelines.

Angshuman Rudra Pal, Suparna Mitra, Sobhan Aich, Jyotsna Goswami

Abstract read
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Article in Indian journal of anaesthesia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Observational
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  6. Observational
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  12. Anaesthesiology as a career: Surgeons' perspectives.Indian journal of anaesthesia · 2021
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  15. Review
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Angshuman Rudra PalDepartment of Anaesthesiology, Critical Care and Pain, Tata Medical Center, Kolkata, West Bengal, India.
Suparna MitraDepartment of Anaesthesiology, Critical Care and Pain, Tata Medical Center, Kolkata, West Bengal, India.
Sobhan AichDepartment of Anaesthesiology, Critical Care and Pain, Tata Medical Center, Kolkata, West Bengal, India.
Jyotsna GoswamiDepartment of Anaesthesiology, Critical Care and Pain, Tata Medical Center, Kolkata, West Bengal, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsEnhanced recovery after surgery (ERAS) protocol in colorectal surgery has been shown to result in reduced rates of postoperative complications and length of stay (LOS) in the hospital. Although there is clear guideline and evidences available, their implementation into daily clinical practice faces some difficulties. We aimed to audit the existing practice of perioperative care in colorectal surgeries and find out the adherence to ERAS protocol.

methodsWe collected data from medical record of 215 patients undergoing colorectal surgery in a regional cancer institute of eastern India. The patient data were retrospectively collected, which included, demographic data, adherence to major components of ERAS pathway, postoperative complications, and length of hospital stay.

resultsThe median LOS after surgery was 9 days (interquartile range [IQR] 6-12.75). Approximately, 15% patients had postoperative complications. We found good adherence (more than 80%) to certain elements of ERAS such as preoperative counseling and nutritional assessments, selective bowel preparation, antibiotic and antithrombotic prophylaxis, etc.

conclusionThe audit revealed that compliance to individual ERAS elements were variable, which needed urgent modification for better adherence to ERAS guidelines.

Indexed as

Colorectal surgerycomplianceenhanced recovery after surgery

Identifiers

PMID30745609
PMCPMC6341895

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