Enhanced recovery after colorectal surgery in patients with inflammatory bowel disease to reduce hospital length of stay: A systematic review and meta-analysis.
Garrett Johnson, Evangelia Theodosopoulos, Jordyn Vernon et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the impact of enhanced recovery after surgery (ERAS) protocols on adult patients with inflammatory bowel disease (IBD). The analysis included 18 studies, revealing that ERAS significantly reduced hospital length of stay (LOS) by a mean difference of -1.62 days. However, there were no significant differences in 30-day readmissions, reoperations, or complications.
Key findings
- ERAS reduced hospital length of stay by a mean difference of -1.62 days.
- No significant difference in 30-day readmissions (OR: 0.83).
- No significant difference in 30-day reoperations (OR: 0.68).
- No significant difference in 30-day complications (OR: 0.69).
Why it matters
Implementing ERAS protocols in patients with IBD may lead to shorter hospital stays, which can enhance resource utilization and patient satisfaction. Understanding the effects of ERAS in this population is crucial for optimizing postoperative care.
What to keep in mind
The evidence was limited by non-blinding and observational data at serious risk of bias.