Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol
Objective: Enhanced recovery after surgery (ERAS) is a protocol of evidence based practices applied in major surgery. Open aortic aneurysm repair is major surgery in terms of complications and mortality. This study aimed to compare early outcomes of ERAS with a traditional post-operative protocol in...
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Elsevier
2024-01-01
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| Series: | EJVES Vascular Forum |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666688X24001497 |
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| author | Ilaria Peluttiero Dimitrios Apostolou Gianfranco Varetto Lorenzo Gibello Erica Mariani Edoardo Frola Fabio Barili Matteo Ripepi Massimo Maione Fabio Verzini |
| author_facet | Ilaria Peluttiero Dimitrios Apostolou Gianfranco Varetto Lorenzo Gibello Erica Mariani Edoardo Frola Fabio Barili Matteo Ripepi Massimo Maione Fabio Verzini |
| author_sort | Ilaria Peluttiero |
| collection | DOAJ |
| description | Objective: Enhanced recovery after surgery (ERAS) is a protocol of evidence based practices applied in major surgery. Open aortic aneurysm repair is major surgery in terms of complications and mortality. This study aimed to compare early outcomes of ERAS with a traditional post-operative protocol in patients undergoing elective open aortic surgery. Methods: This retrospective cohort study was conducted between 2018 – 2022 in two tertiary vascular surgery centres. The ERAS program was routinely implemented in one centre, while the other one used a standard peri-operative protocol. The primary outcome was post-operative length of stay (pLOS). Secondary outcomes were 30 day mortality rate, complications, re-interventions, and re-hospitalisations. Propensity score weighting was used to balance the two groups by comorbidities. Inverse probability of treatment weight (IPTW) was used to estimate the average treatment effect on the treated patients. Results: A total of 198 patients were enrolled: 128 in the ERAS group (EG) and 70 in the standard group (SG). Mean age was 70.8 ± 6.7 years in EG and 71.1 ± 6.7 in SG (p = 0.39). No significant differences were observed in pre-operative cardiovascular risk factors. The median pLOS was 5 days (IQR 3, 6) in the EG group and 8 days (IQR 6, 11) in the SG group (p < 0.001). No differences in terms of mortality, re-operations, and re-hospitalisations were observed. The IPTW analyses showed a 40% reduction in pLOS and a significant reduction in major complications in EG (OR 0.41, 95% CI 0.26–0.66; p < 0.001). A 45% increase in pLOS in patients with chronic obstructive pulmonary disease was found in both groups. Conclusion: Enhanced recovery after surgery is safe and feasible for elective open aortic surgery and is associated with earlier hospital discharge without differences in terms of mortality and lower complication rates compared with a standard protocol. Chronic obstructive pulmonary disease is a major risk factor for an increase in pLOS. The ERAS protocol is promising in terms of resource utilisation. |
| format | Article |
| id | doaj-art-4690a431383e4e458aadb7b85f739ec4 |
| institution | OA Journals |
| issn | 2666-688X |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
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| series | EJVES Vascular Forum |
| spelling | doaj-art-4690a431383e4e458aadb7b85f739ec42025-08-20T01:56:24ZengElsevierEJVES Vascular Forum2666-688X2024-01-01629710310.1016/j.ejvsvf.2024.10.004Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery ProtocolIlaria Peluttiero0Dimitrios Apostolou1Gianfranco Varetto2Lorenzo Gibello3Erica Mariani4Edoardo Frola5Fabio Barili6Matteo Ripepi7Massimo Maione8Fabio Verzini9Vascular and Endovascular Surgery Unit, S. Croce e Carle Hospital, Cuneo, Italy; Corresponding author. Vascular and Endovascular Surgery Unit, S. Croce e Carle Hospital, Cuneo, Italy.Vascular and Endovascular Surgery Unit, S. Croce e Carle Hospital, Cuneo, ItalyVascular Surgery Unit, Department of Surgical Sciences, Turin University, A.O.U. Città Della Salute e Della Scienza, Molinette Hospital, Turin, ItalyVascular Surgery Unit, Department of Surgical Sciences, Turin University, A.O.U. Città Della Salute e Della Scienza, Molinette Hospital, Turin, ItalyVascular and Endovascular Surgery Unit, S. Croce e Carle Hospital, Cuneo, ItalyVascular and Endovascular Surgery Unit, S. Croce e Carle Hospital, Cuneo, ItalyDepartment of Biomedical and Clinical Sciences, Università Degli Studi Di Milano, Milan, Italy; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA; IRCCS Ospedale Galeazzi - Sant’Ambrogio, Milan, ItalyVascular Surgery Unit, Department of Surgical Sciences, Turin University, A.O.U. Città Della Salute e Della Scienza, Molinette Hospital, Turin, ItalyVascular and Endovascular Surgery Unit, S. Croce e Carle Hospital, Cuneo, ItalyVascular Surgery Unit, Department of Surgical Sciences, Turin University, A.O.U. Città Della Salute e Della Scienza, Molinette Hospital, Turin, ItalyObjective: Enhanced recovery after surgery (ERAS) is a protocol of evidence based practices applied in major surgery. Open aortic aneurysm repair is major surgery in terms of complications and mortality. This study aimed to compare early outcomes of ERAS with a traditional post-operative protocol in patients undergoing elective open aortic surgery. Methods: This retrospective cohort study was conducted between 2018 – 2022 in two tertiary vascular surgery centres. The ERAS program was routinely implemented in one centre, while the other one used a standard peri-operative protocol. The primary outcome was post-operative length of stay (pLOS). Secondary outcomes were 30 day mortality rate, complications, re-interventions, and re-hospitalisations. Propensity score weighting was used to balance the two groups by comorbidities. Inverse probability of treatment weight (IPTW) was used to estimate the average treatment effect on the treated patients. Results: A total of 198 patients were enrolled: 128 in the ERAS group (EG) and 70 in the standard group (SG). Mean age was 70.8 ± 6.7 years in EG and 71.1 ± 6.7 in SG (p = 0.39). No significant differences were observed in pre-operative cardiovascular risk factors. The median pLOS was 5 days (IQR 3, 6) in the EG group and 8 days (IQR 6, 11) in the SG group (p < 0.001). No differences in terms of mortality, re-operations, and re-hospitalisations were observed. The IPTW analyses showed a 40% reduction in pLOS and a significant reduction in major complications in EG (OR 0.41, 95% CI 0.26–0.66; p < 0.001). A 45% increase in pLOS in patients with chronic obstructive pulmonary disease was found in both groups. Conclusion: Enhanced recovery after surgery is safe and feasible for elective open aortic surgery and is associated with earlier hospital discharge without differences in terms of mortality and lower complication rates compared with a standard protocol. Chronic obstructive pulmonary disease is a major risk factor for an increase in pLOS. The ERAS protocol is promising in terms of resource utilisation.http://www.sciencedirect.com/science/article/pii/S2666688X24001497ERASEnhanced recoveryOpen aortic surgeryPost-operative length of stay |
| spellingShingle | Ilaria Peluttiero Dimitrios Apostolou Gianfranco Varetto Lorenzo Gibello Erica Mariani Edoardo Frola Fabio Barili Matteo Ripepi Massimo Maione Fabio Verzini Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol EJVES Vascular Forum ERAS Enhanced recovery Open aortic surgery Post-operative length of stay |
| title | Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol |
| title_full | Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol |
| title_fullStr | Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol |
| title_full_unstemmed | Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol |
| title_short | Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol |
| title_sort | comparison of hospital stay after open abdominal aortic aneurysm repair with or without enhanced recovery protocol |
| topic | ERAS Enhanced recovery Open aortic surgery Post-operative length of stay |
| url | http://www.sciencedirect.com/science/article/pii/S2666688X24001497 |
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