Meta-analysis of Enhanced Recovery After Surgery (ERAS) Protocols in Emergency Abdominal Surgery

Objectives To evaluate enhanced recovery after surgery (ERAS) protocols in emergency abdominal surgery. Methods The electronic data sources were explored to capture all studies that evaluated the impact of ERAS protocols in patients who underwent emergency abdominal surgery. The quality of randomise...

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Veröffentlicht in:	World journal of surgery 2020-05, Vol.44 (5), p.1336-1348
Hauptverfasser:	Hajibandeh, Shahab, Hajibandeh, Shahin, Bill, Victor, Satyadas, Thomas
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abdomen - surgery Abdominal Surgery Cardiac Surgery Clinical Protocols Comparative studies Complications Defecation Diet Emergency procedures Emergency Treatment Enhanced Recovery After Surgery General Surgery Humans Intestine Length of Stay Medicine Medicine & Public Health Meta-analysis Patients Postoperative Complications - prevention & control Randomization Recovery Reoperation - adverse effects Risk Scientific Review Surgery Surgical site infections Thoracic Surgery Vascular Surgery
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Zusammenfassung:	Objectives To evaluate enhanced recovery after surgery (ERAS) protocols in emergency abdominal surgery. Methods The electronic data sources were explored to capture all studies that evaluated the impact of ERAS protocols in patients who underwent emergency abdominal surgery. The quality of randomised and non-randomised studies was evaluated by the Cochrane tool and the Newcastle–Ottawa scale, respectively. Random or fixed effects modelling were utilised as indicated. Results Six comparative studies, enrolling 1334 patients, were eligible. ERAS protocols resulted in shorter post-operative time to first flatus (mean difference: −1.40, P
ISSN:	0364-2313 1432-2323
DOI:	10.1007/s00268-019-05357-5