Enhanced Recovery after Surgery Protocol on Readmission rate for Patients undergoing Colorectal Surgery in city hospital

Abstract

Objective

To investigate the role of ERAS Protocol on readmission rate for patients undergoing colorectal surgery at our unit.

Introduction

Colorectal surgery is well known for its high complication rate, longer hospital stays and readmissions, this in part could be due to their complexity and location. Multiple programs were developed to enhance patient care and recovery one of which is Enhanced Recovery after Surgery (ERAS) protocol which is well established in our colorectal unit since 2015.

Methods & Materials

In the period from January 2015 to December 2017 all patients who underwent colorectal resections at our colorectal unit were included in this study. Data collected were demographics, type of procedure, hospital stay, post operative mortality & morbidity and readmission rate. In this study we retrospectively analyze the prospectively collected data of patients underwent colorectal surgeries using SPSS version 18 for quantitative and qualititative analysis to see whether ERAS protocol which was applied on them has a low or high readmission rate.

Conclusion

 Post operative complications (especially wound infection) were the most common cause of readmission; moreover readmission rates at our Center were relatively high despite the implementation of ERAS. This is likely due to its recent adoption and application.  Therefore, it is encouraged to familiarize as well as train multidisciplinary teams, to ensure adherence and proper practice of ERAS protocols.