ArticleWorld journal of surgery2025
Adherence to Enhanced Recovery After Surgery (ERAS) With Bellwether Surgical Procedures in Ethiopia: A Retrospective Study.
Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Healthcare Workers' Acceptance and Willingness to Implement a Pragmatic Triple-Component Enhanced Recovery After Surgery Strategy (T-ERAS): A Cross-Sectional Study in Ethiopian Public Hospitals.World journal of surgery · 2026Article
- Enhanced recovery after breast surgery: a review of international evidence and nursing challenges in China.American journal of translational research · 2026Review
- Geriatric Focused ERAS Nursing Practices in Open and Hybrid Aortic Vascular Surgery.Clinical interventions in aging · 2026Article
- Enhanced recovery after surgery protocol implementation in pediatric Meckel's diverticulum resection: A clinical outcome study.World journal of gastrointestinal surgery · 2025Article
- Perioperative outcomes of abdominal surgery in Ethiopia: a national clinical audit (2019-2024).Scientific reports · 2025Article
- Targeted ERAS implementation for postoperative care after Bellwether procedures in Africa: A pragmatic cluster-randomized trial from Ethiopia.medRxiv : the preprint server for health sciences · 2025Article
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10 authors.
Funding
Abstract
backgroundEnhanced recovery after surgery (ERAS) is a multimodal perioperative care approach that aims to improve patient outcomes by reducing physiological stress and promoting organ functional recovery. Implementing ERAS in low-resource settings faces challenges due to limited infrastructure and resources. This study examined the adherence to five ERAS recommendations with Bellwether surgical procedures in Ethiopian surgical facilities.
methodA retrospective database review of the Ethiopian perioperative registry was conducted. A total of 555 patients were included in this study. Data extraction included patient demographics, American Society of Anesthesiologists' Physical Status classification, surgical variables, postoperative hospital length of stay (LOS), and ERAS guidelines components. The primary outcome was adherence to five ERAS guidelines recommendations (early mobilization, feeding initiation, postoperative nausea and vomiting prophylaxis, early catheter removal, and IV fluids discontinuation). The secondary outcomes included: (i) the association between adherence to ERAS guidelines and LOS and (ii) a total unduplicated reach and frequency analysis to determine the two recommendations with the most impact on decreasing LOS for future implementation in low-resource environments.
resultsA total of 555 patients were included across the three surgical categories: CS (274, 49.4%), OBF (126, 22.7%), and laparotomy (155, 27.9%). The primary outcome showed that the overall adherence was 1810 (65.2%) of the total number of the five ERAS guidelines recommendations in the cohort (2275 recommendations). The secondary outcomes showed that adherence to all five ERAS recommendations reduced LOS by 128 h compared to nonadherence to any ERAS elements. Adherence to early mobilization, early removal of urinary catheters, and early feeding each have shown consistent reductions in LOS across all Bellwether surgical procedures.
conclusionThe implementation of a limited set of ERAS recommendations in low-resource environments has the potential to decrease LOS by approximately 5 days for Bellwether surgical procedures.
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