Compliance rate of Implementation of Enhanced Recovery After Surgery (ERAS) Protocol in Children undergoing Genitourinary Surgery– A Prospective Observational Study

Enhanced Recovery After Surgery (ERAS) protocols were initially developed for colorectal

surgery in the early 2000s, but have since expanded to various surgical specialties. In 2010, the

ERAS society was officially founded to promote and standardize ERAS practices worldwide.

Enhanced Recovery After Surgery (ERAS) protocols are evidence-based multidisciplinary

perioperative care pathways designed to reduce perioperative stress, optimise recovery, and

improve surgical outcomes in adults. While well-established in adult populations, the application

of ERAS protocols in paediatric surgery remains limited. There are very few studies in literature

on implementation of ERAS protocols in paediatric surgical patients.

In this proposed prospective observational study paediatric patients (1–18 years of age)

undergoing genitourinary surgery will be enrolled and the compliance of the ERAS protocol

parameters will be assessed and recorded if more than or equal to 70% parameters are followed,

ERAS protocol compliance will be considered as met. For duration of stay in hospital patient will

be followed and total number of days of hospitalization will be recorded. For rate of emergency

department visit / readmissions / reoperation follow up will be done and if within 48 hours any of

these occurs it will be recorded and parental satisfaction will be assessed by customized parental

satisfaction score after the postoperative period.