Effect of an enhanced recovery after surgery protocol for children with acute appendicitis: A randomized controlled trial.
Int J Nurs StudJun 28, 2026 (epub)
Buket Meral, Birsen Mutlu, Hatice Sonay Yalçın Cömert
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In 30 seconds
This randomized controlled trial evaluated the modified Enhanced Recovery After Surgery (mERAS) protocol in 82 children aged 6-17 undergoing appendectomy. The study found that the mERAS protocol significantly reduced postoperative length of stay by 9.84 hours (95% CI: -15.53 to -4.15; p=0.001) compared to standard care, along with earlier mobilization and flatus.
Key findings
- Postoperative hospital stay was shorter in the mERAS group by 9.84 hours (95% CI: -15.53 to -4.15; p=0.001).
- Time to first postoperative mobilization was reduced by 4.63 hours (95% CI: -5.80 to -3.46; p<0.001).
- Time to first flatus was shorter by 8.31 hours (95% CI: -11.46 to -5.16; p=0.001).
- mERAS care was independently associated with a decreased risk of prolonged hospital stay (β = -8.174; p=0.004).
Why it matters
Implementing structured, nurse-led mERAS protocols can significantly enhance recovery in pediatric patients undergoing surgery, leading to shorter hospital stays and improved postoperative outcomes, which is crucial for optimizing care in this population.