Evidence map›Paper›PMID 34537016›Full record

ArticleBMC pregnancy and childbirth2021

The successful implementation of the Enhanced Recovery After Surgery (ERAS) program among caesarean deliveries in Bhutan to reduce the postoperative length of hospital stay.

Tshering Tamang, Tashi Wangchuk, Choning Zangmo, Tshering Wangmo, Karma Tshomo

Abstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tshering TamangDepartment of Obstetrics and Gynaecology, Mongar Regional Referral Hospital, Mongar, Bhutan. ttamang@mrrh.gov.bt.
Tashi WangchukDepartment of Anesthesiology, Mongar Regional Referral Hospital, Mongar, Bhutan.
Choning ZangmoMaternity ward, Department of Obstetrics and Gynaecology, Mongar Regional Referral Hospital, Mongar, Bhutan.
Tshering WangmoMaternity ward, Department of Obstetrics and Gynaecology, Mongar Regional Referral Hospital, Mongar, Bhutan.
Karma TshomoMaternity ward, Department of Obstetrics and Gynaecology, Mongar Regional Referral Hospital, Mongar, Bhutan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced Recovery After Surgery (ERAS) is a multidisciplinary perioperative care program to optimize and enhance postoperative recovery. It has a beneficial role in decreasing the length of hospital stay and improving the quality of care. This study aims to observe the successful implementation of ERAS in reducing the length of hospital stay (LOS) among caesarean deliveries.

methodsA pre-and post-implementation study of ERAS protocol was conducted, among cohort of women who underwent caesarean deliveries from January to December 2020 in the Department of Obstetrics and Gynaecology, Mongar Regional Referral hospital. Data collected retrospectively and analyzed in SPSS (IBM SPSS trial version); and comparison of length of hospital stay between the two groups were tested by t-test.

resultsOne hundred seventy-one patients were included in the study: 87 in the pre-ERAS and 84 in the post-ERAS cohort. Post implementation, LOS decreased by an average of 21.0 (CI 16.11-24.64; p-value < 0.001) hours in the postoperative period. A greater proportion of patients were discharged on day-2 (2.3% in pre-ERAS and 81% in ERAS; p-value < 0.001).

conclusionImplementation of ERAS protocol can significantly decrease the postoperative length of hospital stay without increasing the complications and readmission rates.

Indexed as

Enhanced Recovery After SurgeryAdultBhutanCesarean SectionFemaleHumansLength of StayPostoperative PeriodPregnancyRetrospective StudiesYoung AdultCaesarean deliveriesERASLength of hospital stay

Identifiers

PMID34537016
PMCPMC8449869

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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.