Enhanced Recovery After Surgery in Major Intrabdominal Procedures.
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Purpose
Enhanced Recovery After Surgery (ERAS) programs have been introduced with aims of attenuating the stress response to surgery and enabling rapid recovery. There is strong evidence of the usefulness of the ERAS programs in patients undergoing colorectal surgery in terms of significantly reduced postoperative complications and shorter length of hospital stay, compared to the patients of traditional treatment. However, few studies exist about the implication of ERAS programs in major upper abdominal surgery patients.
The aim of this study was to compare morbidity, mortality and length of stay in patients undergoing major intrabdominal surgery, including upper and lower gastrointestinal, receiving either conventional postoperative care or an ERAS program.
| Condition | Intervention |
|---|---|
|
Complication of Surgical and Medical Care. |
Other: ERAS perioperative care Other: Traditional |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Enhanced Recovery After Surgery (ERAS) Versus Conventional Postoperative Care in Patients Undergoing Major Intra-abdominal Surgery. |
- Morbidity. [ Time Frame: 30 days after surgery ] [ Designated as safety issue: No ]
- Mortality. [ Time Frame: 30 days after surgery ] [ Designated as safety issue: No ]
| Enrollment: | 54 |
| Study Start Date: | October 2010 |
| Study Completion Date: | April 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: ERAS patients
Patients planned to undergoing major intrabdominal surgery, following the ERAS perioperative care.
|
Other: ERAS perioperative care
Patient's education before surgery, early mobilization and oral feeding after surgery, no opioids analgesics.
|
|
Active Comparator: Control patients
Patients planned to undergo major intrabdominal surgery, following the conventional perioperative care.
|
Other: Traditional
Nasogastric tube until bowel function, late oral eating, opioid analgesics.
|
Eligibility| Ages Eligible for Study: | 20 Years to 89 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Elective surgery
- ASA grade < 4
Exclusion Criteria:
- Emergency surgery
- ASA grade > 3
Contacts and Locations
More Information
Publications:
| Responsible Party: | Vassilios Alivizatos MD, Ph.D, St. Andrew General Hospital, Department of Surgery, Patra, Greece |
| ClinicalTrials.gov Identifier: | NCT01400711 History of Changes |
| Other Study ID Numbers: | 1VA |
| Study First Received: | June 20, 2011 |
| Last Updated: | July 21, 2011 |
| Health Authority: | Greece: Ministry of Health and Welfare |
Keywords provided by St. Andrew's General Hospital, Patras, Greece:
|
Fast-tract surgery, Enhanced recovery after surgery, multimodal surgery. |
ClinicalTrials.gov processed this record on May 16, 2013