Sarah B Jochum1, Ethan M Ritz2, Anuradha R Bhama3, Dana M Hayden3, Theodore J Saclarides3, Joanne Favuzza4. 1. Department of Surgery, Rush University Medical Center, 1653 W Congress Pkwy, Chicago, IL, 60612, USA. 2. Bioinformatics and Biostatistics Core, Rush University Medical Center, 1653 W Congress Pkwy, Chicago, IL, 60612, USA. 3. Department of Surgery, Division of Colon and Rectal Surgery, Rush University Medical Center, 1653 W Congress Pkwy, Chicago, IL, 60612, USA. 4. Department of Surgery, Division of Colon and Rectal Surgery, Boston Medical Center, FGH Building, 820 Harrison Avenue, Room 5008, Boston, MA, 02118, USA. joanne.favuzza@bmc.org.
Abstract
PURPOSE: Enhanced recovery after surgery (ERAS) pathways has demonstrated improved outcomes in colorectal surgery. An important component of ERAS is early oral intake. The aim of this study is to determine the impact of early oral intake in patients following colorectal surgery. METHODS: A retrospective analysis of patients who underwent colectomy and proctectomy at an academic institution from January 2015 to November 2018 was performed. Postoperative outcomes were compared between patients who had postoperative day 0 (POD 0) oral intake and those who did not. RESULTS: A total of 436 ERAS patients had oral intake timing documented. The majority of patients were women (241, 55.3%) and white (313, 71.8%). The mean age was 57 ± 15.09. Patients who had early intake were found to have lower 30-day overall morbidity and length of stay (p < 0.05), and no difference in serious adverse events. Additionally, hospital costs were lower in the POD 0 feeding group for all patients (p < 0.05). CONCLUSION: We have demonstrated that early oral feeding in an established ERAS pathway is associated with improved clinical outcomes as well as decreased total hospital costs. Early postoperative feeding is safe in colorectal patients and should be prioritized to decrease complications and healthcare costs.
PURPOSE: Enhanced recovery after surgery (ERAS) pathways has demonstrated improved outcomes in colorectal surgery. An important component of ERAS is early oral intake. The aim of this study is to determine the impact of early oral intake in patients following colorectal surgery. METHODS: A retrospective analysis of patients who underwent colectomy and proctectomy at an academic institution from January 2015 to November 2018 was performed. Postoperative outcomes were compared between patients who had postoperative day 0 (POD 0) oral intake and those who did not. RESULTS: A total of 436 ERAS patients had oral intake timing documented. The majority of patients were women (241, 55.3%) and white (313, 71.8%). The mean age was 57 ± 15.09. Patients who had early intake were found to have lower 30-day overall morbidity and length of stay (p < 0.05), and no difference in serious adverse events. Additionally, hospital costs were lower in the POD 0 feeding group for all patients (p < 0.05). CONCLUSION: We have demonstrated that early oral feeding in an established ERAS pathway is associated with improved clinical outcomes as well as decreased total hospital costs. Early postoperative feeding is safe in colorectalpatients and should be prioritized to decrease complications and healthcare costs.
Authors: Jessica P Hampton; Oluwafemi P Owodunni; Dianne Bettick; Sophia Y Chen; Sara Sateri; Thomas Magnuson; Susan L Gearhart Journal: Surgery Date: 2019-03-15 Impact factor: 3.982
Authors: Malaika S Vlug; Jan Wind; Markus W Hollmann; Dirk T Ubbink; Huib A Cense; Alexander F Engel; Michael F Gerhards; Bart A van Wagensveld; Edwin S van der Zaag; Anna A W van Geloven; Mirjam A G Sprangers; Miguel A Cuesta; Willem A Bemelman Journal: Ann Surg Date: 2011-12 Impact factor: 12.969