Comparison of outcomes in the enhanced recovery after surgery (ERAS) and conventional management (CM) groups
Outcome (in days) | ERAS | CM | Mean difference | P value | CI |
(n= 45) | (n= 45) | ||||
Post-anesthesia care unit stay | |||||
(in days) | 0.34±0.13 | 0.79±0.17 | 0.45 | <0.001 | 0.39 to 0.51 |
(in hours) | 8.0±3.2 | 19.0±6.0 | 11.0 | ||
Time to Foley’s catheter removal | 1.00±0.38 | 3.75±0.50 | 2.75 | <0.001 | 2.56 to 2.94 |
Time to start of liquid diet | 1.06±0.18 | 2.13±0.38 | 1.07 | <0.001 | 0.95 to 1.20 |
Time to start of semi-solid diet | 2.88±0.25 | 4.35±0.42 | 1.47 | <0.001 | 1.33 to 1.61 |
Time to first flatus | 1.55±0.30 | 4.05±0.45 | 2.50 | <0.001 | 2.34 to 2.66 |
Time to first stool | 3.25±1.05 | 5.75±1.50 | 2.50 | <0.001 | 1.96 to 3.04 |
Time to first sitting | 0.69±0.15 | 1.66±0.33 | 0.97 | <0.001 | 0.86 to 1.08 |
Time to first walk | 1.04±0.21 | 3.13±0.63 | 2.09 | <0.001 | 1.89 to 2.29 |
Pain score | |||||
Immediate post-operative | 2.9±1.2 | 3.5±1.9 | 0.6 | 0.077 | 0.07 to 1.27 |
4 hours post-operative | 1.4±0.7 | 2.9±1.4 | 1.5 | <0.001 | 1.04 to 1.97 |
POD 1 | 1.2±0.4 | 2.6±1.8 | 1.4 | <0.001 | 0.85 to 1.95 |
POD 2 | 0.9±0.5 | 2.5±0.9 | 1.6 | <0.001 | 1.30 to 1.91 |
LOHS (median (range)) | |||||
Overall | 4 (2–8) | 6 (4–18) | 2 | <0.001 | |
Timing of surgery (median (range)) | |||||
Primarydebulking surgery cohort | 4 (3–8) | 6 (4–18) | 2 | <0.001 | |
Intervaldebulking surgery cohort | 4 (3–8) | 6 (4–18) | 2 | <0.001 | |
Surgical procedure | |||||
Staging cohort | 4 (2–6) | 6 (4–8) | 2 | <0.001 | |
Complex cytoreductive cohort | 5 (3–8) | 6 (4–18) | 1 | 0.019 |
CM, conventional management; ERAS, enhanced recovery after surgery; LHOS, length of hospital stay; POD, post-operative day.