Evidence map›Paper›PMID 38389067›Full record

ArticleBMC surgery2024

Cost saving in implementing ERAS protocol in emergency abdominal surgery.

Pietro Bisagni, Vera D'Abrosca, Vincenzo Tripodi, Francesca Teodora Armao, Marco Longhi, Gianluca Russo, Michele Ballabio

Abstract read
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
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  7. Observational
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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

7 authors.

Pietro BisagniDepartment of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia. pietro1.bisagni@gmail.com.
Vera D'AbroscaDepartment of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia.
Vincenzo TripodiDepartment of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia.
Francesca Teodora ArmaoDepartment of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia.
Marco LonghiDepartment of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia.
Gianluca RussoDepartment of Emergency, Ospedale Maggiore di Lodi, Lodi, Italy.
Michele BallabioDepartment of Surgery, Ospedale Maggiore di Lodi, Viale Savoia 1, 26900, Lodi, Italia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionERAS (Enhanced Recovery After Surgery) protocol is now proposed as the standard of care in elective major abdominal surgery. Implementation of the ERAS protocol in emergency setting has been proposed but his economic impact has not been investigated. Aim of this study was to evaluate the cost saving of implementing ERAS in abdominal emergency surgery in a single institution.

methodsA group of 80 consecutive patients treated by ERAS protocol for gastrointestinal emergency surgery in 2021 was compared with an analogue group of 75 consecutive patients treated by the same surgery the year before implementation of ERAS protocol. Adhesion to postoperative items, length of stay, morbidity and mortality were recorded. Cost saving analysis was performed.

results50% Adhesion to postoperative items was reached on day 2 in the ERAS group in mean. Laparoscopic approach was 40 vs 12% in ERAS and control group respectively (p ,002). Length of stay was shorter in ERAS group by 3 days (9 vs 12 days p ,002). Morbidity and mortality rate were similar in both groups. The ERAS group had a mean cost saving of 1022,78 € per patient.

conclusionsERAS protocol implementation in the abdominal emergency setting is cost effective resulting in a significant shorter length of stay and cost saving per patient.

Indexed as

Digestive System Surgical ProceduresEnhanced Recovery After SurgeryCost SavingsElective Surgical ProceduresHumansLength of StayPostoperative ComplicationsAcute care surgeryEmergency surgeryERASGeneral surgeryVisceral surgery

Identifiers

PMID38389067
PMCPMC10885507

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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.