A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .
Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.
BACKGROUND Falls are a common adverse event during hospitalization of older adults , and few interventions have been shown to prevent them . METHODS This study was a 3-group r and omized trial to evaluate the efficacy of 2 forms of multimedia patient education compared with usual care for the prevention of in-hospital falls .  Older hospital patients ( n = 1206 ) admitted to a mixture of acute ( orthopedic , respiratory , and medical ) and subacute ( geriatric and neurorehabilitation ) hospital wards at 2 Australian hospitals were recruited between January 2008 and April 2009 . The interventions were a multimedia patient education program based on the health-belief model combined with trained health professional follow-up ( complete program ) , multi-media patient education material s alone ( material s only ) , and usual care ( control ) .  Falls data were collected by blinded research assistants by review ing hospital incident reports , h and search ing medical records , and conducting weekly patient interviews . RESULTS Rates of falls per 1000 patient-days did not differ significantly between groups ( control , 9.27 ; material s only , 8.61 ; and complete program , 7.63 ) . However , there was a significant interaction between the intervention and presence of cognitive impairment . Falls were less frequent among cognitively intact patients in the complete program group ( 4.01 per 1000 patient-days ) than among cognitively intact patients in the material s-only group ( 8.18 per 1000 patient-days ) ( adjusted hazard ratio , 0.51 ; 95 % confidence interval , 0.28 - 0.93 ] ) and control group ( 8.72 per 1000 patient-days ) ( adjusted hazard ratio , 0.43 ; 95 % confidence interval , 0.24 - 0.78 ) . CONCLUSION Multimedia patient education with trained health professional follow-up reduced falls among patients with intact cognitive function admitted to a range of hospital wards . Trial Registration anzctr.org.au Identifier : ACTRN12608000015347
A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .