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Volume 13
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10.3390/jcm13195847
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Article

A Retrospective Comparison Trial Investigating Aggregate Length of Stay Post Implementation of Seven Enhanced Recovery After Surgery (ERAS) Protocols between 2015 and 2022

by
Rebecca N. Blumenthal
1,2,*,
Andrew R. Locke
1,
Noah Ben-Isvy
1,
Muneeb S. Hasan
1,
Chi Wang
3,
Matthew J. Belanger
1,
Mohammed Minhaj
1,2 and
Steven B. Greenberg
1,2
1
Department of Anesthesiology, Critical Care, and Pain Medicine, Endeavor Health, Evanston, IL 60201, USA
2
Department of Anesthesiology and Critical Care, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA
3
Department of Biostatistics, Endeavor Health, Evanston, IL 60201, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(19), 5847; https://doi.org/10.3390/jcm13195847
Submission received: 30 August 2024 / Revised: 21 September 2024 / Accepted: 29 September 2024 / Published: 30 September 2024
(This article belongs to the Section Anesthesiology)
Versions Notes

Abstract

(1) Introduction: Enhanced Recovery After Surgery (ERAS) protocols can create a cultural shift that will benefit patients by significantly reducing patient length of stay when compared to an equivalent group of surgical patients not following an ERAS protocol. (2) Methods: In this retrospective study of 2236 patients in a multi-center, community-based healthcare system, matching was performed based on a multitude of variables related to demographics, comorbidities, and surgical outcomes across seven ERAS protocols. These cohorts were then compared pre and post ERAS protocol implementation. (3) Results: ERAS protocols significantly reduced hospital length of stay from 3.0 days to 2.1 days (p <0.0001). Additional significant outcomes included reductions in opioid consumption from 40 morphine milligram equivalents (MMEs) to 20 MMEs (p <0.001) and decreased pain scores on postoperative day zero (POD 0), postoperative day one (POD 1), and postoperative day two (POD 2) when stratified into mild, moderate, and severe pain (p <0.001 on all three days). (4) Conclusions: ERAS protocols aggregately reduce hospital length of stay, pain scores, and opioid consumption.
Keywords: anesthesia; Enhanced Recovery After Surgery; perioperative medicine anesthesia; Enhanced Recovery After Surgery; perioperative medicine

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MDPI and ACS Style

Blumenthal, R.N.; Locke, A.R.; Ben-Isvy, N.; Hasan, M.S.; Wang, C.; Belanger, M.J.; Minhaj, M.; Greenberg, S.B. A Retrospective Comparison Trial Investigating Aggregate Length of Stay Post Implementation of Seven Enhanced Recovery After Surgery (ERAS) Protocols between 2015 and 2022. J. Clin. Med. 2024, 13, 5847. https://doi.org/10.3390/jcm13195847

AMA Style

Blumenthal RN, Locke AR, Ben-Isvy N, Hasan MS, Wang C, Belanger MJ, Minhaj M, Greenberg SB. A Retrospective Comparison Trial Investigating Aggregate Length of Stay Post Implementation of Seven Enhanced Recovery After Surgery (ERAS) Protocols between 2015 and 2022. Journal of Clinical Medicine. 2024; 13(19):5847. https://doi.org/10.3390/jcm13195847

Chicago/Turabian Style

Blumenthal, Rebecca N., Andrew R. Locke, Noah Ben-Isvy, Muneeb S. Hasan, Chi Wang, Matthew J. Belanger, Mohammed Minhaj, and Steven B. Greenberg. 2024. "A Retrospective Comparison Trial Investigating Aggregate Length of Stay Post Implementation of Seven Enhanced Recovery After Surgery (ERAS) Protocols between 2015 and 2022" Journal of Clinical Medicine 13, no. 19: 5847. https://doi.org/10.3390/jcm13195847

APA Style

Blumenthal, R. N., Locke, A. R., Ben-Isvy, N., Hasan, M. S., Wang, C., Belanger, M. J., Minhaj, M., & Greenberg, S. B. (2024). A Retrospective Comparison Trial Investigating Aggregate Length of Stay Post Implementation of Seven Enhanced Recovery After Surgery (ERAS) Protocols between 2015 and 2022. Journal of Clinical Medicine, 13(19), 5847. https://doi.org/10.3390/jcm13195847

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