Reduced protocol compliance was the most frequently identified modifiable predictive factor for adverse LOS , morbidity and readmission .
Conclusion Protocol compliance is the most frequently reported predictive factor for outcomes of ERAS programmes following laparoscopic colorectal resection .
Reduced compliance increases LOS , morbidity and readmission to hospital .
The impact of compliance with individual ERAS protocol elements is insufficiently studied , and the lack of a st and ardised framework for evaluating ERAS programmes makes it difficult to draw definite conclusions about which factors exert the greatest impact on outcome after laparoscopic colorectal resection
Objective To perform a systematic review of published literature for the factors reported to predict outcomes of enhanced recovery after surgery ( ERAS ) programmes following  laparoscopic colorectal surgery .
Background ERAS programmes and the use of laparoscopy have been widely adopted in colorectal surgery bringing short-term patient benefit .
However , there is a minority of patients that do not benefit from these strategies and their identification is not well characterised .
The factors that underpin outcomes from ERAS programmes for laparoscopic patients are not understood .
Predicting the unpredictable: comparing readmitted versus non-readmitted colorectal surgery patients.
BACKGROUND To evaluate  readmissions  to determine predictors and patterns of readmission . METHODS Prospect i ve data base review identified readmitted and non-readmitted patients after colorectal surgery .  Variables for the index and readmission episode were examined . RESULTS A total of 212 readmissions and 3,292 nonreadmissions were analyzed . The majority was elective . Readmitted patients were older ( P = .003 ) , had more comorbidities ( P < .0001 ) , longer operative times ( P < .0001 ) , length of stay ( P < .0001 ) , and higher costs ( P = .002 ) . At the time of discharge , more readmitted patients required temporary nursing ( P < .0001 ) . Independent readmission predictors were higher American Society of Anesthesiologists score , previous abdominal operation , intensive care unit stay , and dysmotility/constipation surgery . At the time of readmission , 29.2 % required reoperation . More than half had an open procedure initially ( 55.2 % ) . After initial open procedures , reoperative time ( P = .05 ) and LOS were longer ( P = .028 ) , and more patients required temporary nursing care at the time of discharge ( P = .046 ) . Readmissions caused an additional mean hospital cost of $ 12,670.89 . CONCLUSIONS Readmitted patients have distinct demographic and outcomes variables . As most were elective cases , stratifying patients preoperatively may enable perioperative planning for this higher risk group
Reduced protocol compliance was the most frequently identified modifiable predictive factor for adverse LOS , morbidity and readmission .
Conclusion Protocol compliance is the most frequently reported predictive factor for outcomes of ERAS programmes following laparoscopic colorectal resection .
Reduced compliance increases LOS , morbidity and readmission to hospital .
The impact of compliance with individual ERAS protocol elements is insufficiently studied , and the lack of a st and ardised framework for evaluating ERAS programmes makes it difficult to draw definite conclusions about which factors exert the greatest impact on outcome after laparoscopic colorectal resection
Objective To perform a systematic review of published literature for the factors reported to predict outcomes of enhanced recovery after surgery ( ERAS ) programmes following  laparoscopic colorectal surgery .
Background ERAS programmes and the use of laparoscopy have been widely adopted in colorectal surgery bringing short-term patient benefit .
However , there is a minority of patients that do not benefit from these strategies and their identification is not well characterised .
The factors that underpin outcomes from ERAS programmes for laparoscopic patients are not understood .