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Published in:

01-11-2009

Implementing Fast-Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial

Authors: Daniela Ionescu, Cornel Iancu, Daniela Ion, Nadim Al-Hajjar, Simona Margarit, Lucian Mocan, Teodora Mocan, Delia Deac, Raluca Bodea, Horatiu Vasian

Published in: World Journal of Surgery | Issue 11/2009

Abstract

Background

Fast-track protocols are followed by an enhanced recovery, early return to bowel function and to complete nutrition, and a reduced hospital stay. Our study was designed to implement fast-track protocol in our university hospital.

Methods

The 96 consecutive patients with colorectal neoplasm included in the study were randomized in two equal groups: group 1 (FT) included patients undergoing colorectal surgery in a fast-track protocol, and group 2 (C) included patients undergoing colorectal surgery with a conventional care protocol. As with other fast-track protocols, our protocol included carbohydrate fluids load before operation, early mobilization and oral feeding, regular prokinetics, and multimodal postoperative analgesia. Time to restoration of bowel function, to complete mobilization and feeding, length of hospital stay, and incidence of complications and readmissions were monitored.

Results

Time to mobilization, restoring of bowel function, and complete oral feeding were significantly shorter with fast-track protocol (p = 0.001, p = 0.042, and p = 0.01, respectively). Hospital stay also was shorter in the fast-track group (p = 0.001). The incidence of complications did not significantly differ with the study groups.

Conclusions

In our study, fast-track protocol resulted in a shorter time to mobilization, complete feeding, and discharge from hospital. Fast-track protocol did not increase the incidence of complications. However, we consider that our data require further confirmation with powered multicenter national studies.

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Title: Implementing Fast-Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial
Authors: Daniela Ionescu
Cornel Iancu
Daniela Ion
Nadim Al-Hajjar
Simona Margarit
Lucian Mocan
Teodora Mocan
Delia Deac
Raluca Bodea
Horatiu Vasian
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 11/2009
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-009-0197-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Implementing Fast-Track Protocol for Colorectal Surgery: A Prospective Randomized Clinical Trial

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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