Evidence map›Paper›PMID 36140310›Full record

ArticleBiomedicines2022

Enhanced Recovery Care versus Traditional Care after Surgery in Pediatric Patients with Inflammatory Bowel Disease: A Retrospective Case-Control Study.

Valeria Dipasquale, Francesca Laganà, Serena Arrigo, Giuseppe Trimarchi, Carmelo Romeo, Giuseppe Navarra, Girolamo Mattioli, Paolo Gandullia, Claudio Romano

Abstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Valeria DipasqualePediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98122 Messina, Italy.
Francesca LaganàPediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98122 Messina, Italy.
Serena ArrigoPediatric Gastroenterology and Endoscopy Unit, Integrated Department of Pediatric and Hemato-Oncological Sciences, IRCCS "G. Gaslini" Children's Hospital, 16147 Genoa, Italy.
Giuseppe TrimarchiDepartment of Economy, University of Messina, 98122 Messina, Italy.
Carmelo RomeoPediatric Surgery Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98122 Messina, Italy.ORCID 0000-0002-7616-5480
Giuseppe NavarraDepartment of Human Pathology in Adulthood and Childhood "G. Barresi", Surgical Oncology Division, University of Messina, 98122 Messina, Italy.
Girolamo MattioliPediatric Surgery Unit, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), "G. Gaslini" Children's Hospital, 16147 Genoa, Italy.
Paolo GandulliaPediatric Gastroenterology and Endoscopy Unit, Integrated Department of Pediatric and Hemato-Oncological Sciences, IRCCS "G. Gaslini" Children's Hospital, 16147 Genoa, Italy.
Claudio RomanoPediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98122 Messina, Italy.ORCID 0000-0001-8827-2091

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study reports the outcomes of an enhanced recovery after surgery (ERAS) protocol in pediatric inflammatory bowel disease (IBD) surgery. Children who underwent surgery for IBD at two academic referral centers from January 2016 to June 2021 were included. Preoperative counseling, early enteral feeding (Impact®, Nestlé Health Science, and early mobilization were all part of the ERAS protocol. The outcomes (timing of first defecation, postoperative complications, and length of hospital stay (LOS)) were compared to traditional perioperative regimens (non-ERAS group). Thirty-three children who had 61 abdominal surgeries for IBD were included. Forty (65.5%) surgical procedures were included in the non-ERAS group, and 21 (34.5%) were included in the ERAS group. The postoperative complication rate was significantly lower in the ERAS group than in the non-ERAS group (29.6% vs. 55%, p = 0.049). The first defecation occurred earlier in the ERAS group than in the non-ERAS group (p < 0.001). There was no significant intergroup difference in the LOS. The implementation of ERAS in pediatric IBD surgery resulted in better outcomes than traditional perioperative care, especially in terms of postoperative complication rate and bowel function recovery. Further pediatric studies are needed to validate these findings and support ERAS application in children.

Indexed as

childrenenhanced recovery after surgeryinflammatory bowel diseaselength of hospital staypostoperative complicationsurgery

Identifiers

PMID36140310
PMCPMC9496233

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Registered trials

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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.