Mixed
Implementation of Enhanced Recovery After Surgery (ERAS) protocols in bariatric surgery significantly reduces postoperative nausea and vomiting, intraoperative time, time to mobilization, intensive care unit stay, and total/functional hospital stay compared to standard care, without increasing complication rates.
For bariatric surgery units, adopting ERAS protocols is a high-value intervention. It significantly reduces patient suffering (nausea/vomiting), shortens hospital stays, and speeds up mobilization without increasing surgical risks like leaks or bleeding. Implementation should be prioritized where feasible.
Overall, patients randomised to ERAS programmes had a significant reduction in nausea and vomiting (odds ratio (OR): 0.42, 95% confidence interval (CI): 0.19–0.95, P = 0.040), intraoperative time (mean difference (MD): 5.40, 95% CI: 3.05–7.77, P < 0.001), time to mobilisation (MD: − 7.78, 95% CI: − 5.46 to − 2.10, P < 0.001), intensive care unit stay (ICUS) (MD: 0.70, 95% CI: 0.13–1.27, P = 0.020), total hospital stay (THS) (MD: − 0.42, 95% CI: − 0.69 to − 0.16, P = 0.002), and functional hospital stay (FHS) (MD: − 0.60, 95% CI: − 0.98 to − 0.22, P = 0.002) compared to those who received SC.
Why this rating
The study is a systematic review and meta-analysis of 6 Randomized Clinical Trials (RCTs) involving 740 patients, adhering to PRISMA guidelines.
Source
Evaluating the Impact of Enhanced Recovery After Surgery Protocols on Surgical Outcomes Following Bariatric Surgery—A Systematic Review and Meta-analysis of Randomised Clinical Trials
Matthew G. Davey et al. · Obesity Surgery · 2024
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