The present systematic review shows that , with the exception of laparoscopic surgery , objective evidence of the effect of individual components of ERAS protocol s in reducing the stress response following colorectal surgery is limited
Abstract Enhanced Recovery or Fast Track Recovery after Surgery protocol s ( ERAS ) have significantly changed perioperative care following colorectal surgery and are promoted as reducing the stress response to surgery .
The effect of unselected post-operative nutritional supplementation on nutritional status and clinical outcome of orthopaedic patients.
BACKGROUND AND AIMS Nutritional supplements are widely administered in hospitals and can benefit clinical outcome . The aim here was to determine the effect of routine post-operative nutritional supplementation on the nutritional status and clinical outcome of adult orthopaedic patients . METHODS A prospect i ve controlled study was conducted on two adult orthopaedic wards . Patients in the study group were prescribed two nutritional supplements/day post-operatively . Nutritional and biochemical indices and incidence of clinical complications were observed . RESULTS Of 181 patients studied , 14 in the supplemented group and 34 in the control ( P=0.005 ) developed major complications . There were 22 occurrences of major complications in the supplemented group and 55 in the control ( P=0.0002 ) . There was no significant difference in the number of minor complications between the two groups ( P=0.2 ) . There was no statistical difference in changes in nutritional parameters or in albumin or CRP between the two groups . There were significantly greater reductions in transferrin ( P=0.002 ) and in haemoglobin ( P=0.002 ) in the control group at week 1 . The median costs of hospital stay were 2068 UK pounds in the supplemented group and 2199 UK pounds in the control . The median cost of additional treatments was 30.16 UK pounds in the supplemented group and 46.23 UK pounds in the control . CONCLUSION A significant reduction in major complications and in number and costs of additional treatments was seen in the supplemented group
The present systematic review shows that , with the exception of laparoscopic surgery , objective evidence of the effect of individual components of ERAS protocol s in reducing the stress response following colorectal surgery is limited
Abstract Enhanced Recovery or Fast Track Recovery after Surgery protocol s ( ERAS ) have significantly changed perioperative care following colorectal surgery and are promoted as reducing the stress response to surgery .