Enhanced Recovery After Surgery in Colorectal Surgery: A Large-Scale Quality Improvement Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 664
- 试验地点
- 1
- 主要终点
- Incidence of surgical site infection
研究概览
简要总结
Multimodal perioperative care pathways have evolved into enhanced recovery after surgery (ERAS). ERAS pathways improve the quality of patient care, reduce morbidity, and shorten length of stay. This project will test the hypothesis that implementation of a multi-modal ERAS perioperative care protocol in colorectal surgical patients will result in significantly reduced perioperative morbidity and mortality.
详细描述
Multimodal perioperative care pathways have evolved into enhanced recovery after surgery (ERAS). ERAS pathways improve the quality of patient care, reduce morbidity, and shorten length of stay. This large quality improvement project will compare outcomes after standard perioperative practice with those after the implementation of a multi-modal evidence based care pathway, including standardized preoperative preparation, perioperative goal-directed fluid therapy (GFDT), multi-modal perioperative pain management, post operative nausea and vomiting prevention, surgical care and bowel isolation, and surgical site infection prevention. This project will test the hypothesis that implementation of a multi-modal ERAS perioperative care protocol in colorectal surgical patients will result in significantly reduced perioperative morbidity and mortality.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who underwent colorectal surgery at Vanderbilt University Medical Center and whose data is stored in the perioperative data warehouse.
排除标准
- •Age <18 years
- •Weight <40 kg
结局指标
主要结局
Incidence of surgical site infection
时间窗: Up to 30 days postoperative
次要结局
- Analgesia consumption(Up to 30 days postoperative)
- Hospital Length of stay (days)(Up to 30 days post operative)
- Systemic vascular resistance(1 day)
- Time on ventilator(Up to 30 days postoperative)
- Post operative anti emetic consumption(Up to 30 days postoperative)
- Stroke volume(1 day)
- Post operative pain assessment using 11-point Numeric Pain Rating Scale (NRS)(Up to 30 days postoperative)
- Occurrence of postoperative complications(Up to 30 days postoperative)
- Cardiac Index(1 day)
- Heart rate(1 day)
- ICU length of stay(Up to 30 days postoperative)
研究者
Matthew McEvoy
Associate Professor of Anesthesiology
Vanderbilt University Medical Center