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International Journal of Colorectal Disease

Published in:

01-04-2012 | Original Article

Feasibility of enhanced recovery programme in various patient groups

Authors: Paul M. Verheijen, Anthony W. H. vd Ven, Paul H. P. Davids, Bryan J. M. vd Wall, Apollo Pronk

Published in: International Journal of Colorectal Disease | Issue 4/2012

Abstract

Introduction

An accelerated multi-modal rehabilitation programme may improve the recuperation and reduce the complication rate in patients undergoing colorectal surgery. The aim of this study was to see whether fast-track recovery is feasible in various patient groups.

Patients and methods

Data on all patients operated for intestinal pathology from July 2006–April 2008 were prospectively collected for this prospective study. All included patients entered a multi-modal rehabilitation programme. Peri- and postoperative complications and readmissions, pathology reports and operation characteristics were recorded prospectively.

Results

Three hundred and forty-eight patients underwent colorectal surgery. No difference in readmission rate was found between various patient groups. The only significant differences after multivariate regression analysis were in re-operation rate and length of stay in favour of the elective surgery group.

Conclusions

Fast-track modalities can be introduced with a low complication rate in all patient groups. Length of stay in elderly patients averages 10 days, implying that this group cannot be considered as “fast track”, although the same protocol can also be applied in this group. Better organization of the aftercare might however considerably change the length of stay of elderly patients, since postoperative complications do not differ between old and young patients.

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Title: Feasibility of enhanced recovery programme in various patient groups
Authors: Paul M. Verheijen
Anthony W. H. vd Ven
Paul H. P. Davids
Bryan J. M. vd Wall
Apollo Pronk
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 4/2012
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-011-1336-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Feasibility of enhanced recovery programme in various patient groups

Abstract

Introduction

Patients and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Patients and methods

Results

Conclusions

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