ArticlePloS one2020
Establishment of an enhanced recovery after surgery protocol in minimally invasive heart valve surgery.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04977362 (Interdisciplinary and Cross-sectoral Perioperative Care Model in the Cardiac Surgery), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Interdisciplinary and Cross-sectoral Perioperative Care Model in the Cardiac Surgery: Implementation in the Setting of Minimally-invasive Heart Valve Surgery (INCREASE)
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Enhanced Recovery After Cardiac Surgery for Minimally Invasive Valve Surgery: A Systematic Review of Key Elements and Advancements.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Early mobilisation to enhance recovery following cardiac valvular surgery in atrial fibrillation patients: a randomised controlled trial.Scientific reports · 2025Trial
- Effect of postoperative enhanced recovery program care compared to conventional care following aortic valve replacement: A retrospective analysis.European journal of anaesthesiology and intensive care · 2026Article
- The effect of pain on fear of movement in the early period after open heart surgery according to the fear-avoidance model: the role of moderating factors.BMC nursing · 2025Article
- Article
- Optimizing Recovery in Cardiac Surgery: A Narrative Review of Enhanced Recovery After Surgery Protocols and Clinical Outcomes.Medical sciences (Basel, Switzerland) · 2025Review
- Routine Extubation in the Operating Room After Minimally Invasive Aortic Valve Replacement.Journal of clinical medicine · 2025Article
- Review
- Development of a core outcome set of quality indicators for enhanced recovery after surgery in minimally invasive cardiac heart valve surgery by interprofessional Delphi consensus.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- The Enhanced Recovery after Surgery Approach in Heart Valve Surgery: A Systematic Review of Clinical Studies.Journal of clinical medicine · 2024Review
- Fine tuning for totally endoscopic mitral valve surgery: ERAS applications.Frontiers in cardiovascular medicine · 2024Article
- Implementation of an innovative ERAS protocol in cardiac surgery: A qualitative evaluation from patients' perspective.PloS one · 2024Article
- Different approach, similar outcomes: the impact of surgical access routes in minimally invasive cardiac surgery on enhanced recovery after surgery.Frontiers in cardiovascular medicine · 2024Article
- Minimally Invasive Trans-Axillary versus Full Sternotomy Mitral Valve Repair: A Propensity Score-Matched Analysis on Mid-Term Outcomes.Medicina (Kaunas, Lithuania) · 2023Article
- Article
- [Enhanced recovery after surgery (ERAS®) in cardiac anesthesia].Die Anaesthesiologie · 2022Review
- Early Discharge After Minimally Invasive Aortic and Mitral Valve Surgery.The Annals of thoracic surgery · 2022Article
- Article
- In-Hospital Outcomes of Right Minithoracotomy vs. Periareolar Access for Minimally Invasive Video-Assisted Mitral Valve Repair.Brazilian journal of cardiovascular surgery · 2022Observational
- Left atrial appendage occlusion in a mirror-image dextrocardia: A case report and review of literature.World journal of clinical cases · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Protocols for "Enhanced recovery after surgery (ERAS)" are on the rise in different surgical disciplines and represent one of the most important recent advancements in perioperative medical care. In cardiac surgery, only few ERAS protocols have been described in the past. At University Heart Center Hamburg, Germany, we invented an ERAS protocol for patients undergoing minimally invasive cardiac valve surgery. In this retrospective single center study, we aimed to describe the implementation of our ERAS program and to evaluate the results of the first 50 consecutive patients. Our ERAS protocol was developed according to a modified Kern cycle by an expert group, literature search, protocol creation and pilot implementation in the clinical practice. Data of the first 50 consecutive patients undergoing minimally invasive cardiac valve surgery were analysed retrospectively. The key features of our multidisciplinary ERAS protocol are physiotherapeutic prehabilitation, minimally invasive valve surgery techniques, modified cardiopulmonary bypass management, fast-track anaesthesia with on- table extubation and early mobilisation. A total of 50 consecutive patients (mean age of 51.9±11.9 years, mean STS score of 0.6±0.3) underwent minimally-invasive mitral or aortic valve surgery. The adherence to the ERAS protocol was high and neither protocol related complications nor in-hospital mortality occurred. 12% of the patients developed postoperative atrial fibrillation, postoperative delirium emerged in two patients and reintubation was required in one patient. Intensive care unit stay was 14.0±7.4 hours and total hospital stay 6.2±2.9 days. Our ERAS protocol is feasible and safe in minimally-invasive cardiac surgery setting and has a clear potential to improve patients outcome.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.