Optimizing surgical outcomes for elderly gallstone patients with a high body mass index using enhanced recovery after surgery protocol
作者机构：Department of NursingShanghai Fourth People’s Hospital Affiliated to Tongji University School of MedicineShanghai 200434China Department of General SurgeryShanghai Fourth People’s Hospital School of Medicine Tongji UniversityShanghai 200434China Department of NursingShanghai Xuhui Central HospitalShanghai 200031China
出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)
年 卷 期：2023年第15卷第10期
页 面：2191-2200页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：the Hongkou District Health Committee,No.Hong Wei 2002-08 and Discipline Promotion Program of Shanghai Fourth People's Hospital,No.SY-XKZT-2020-1021
主 题：Enhanced recovery after surgery protocol Cholecystectomy Rehospitalization rate Postoperative nausea and vomiting Degree of abdominal distension Daily living ability
摘 要：BACKGROUND Rehabilitation of elderly patients with a high body mass index(BMI)after cholecystectomy carries risks and requires the adoption of effective perioperative management *** enhanced recovery after surgery(ERAS)protocol is a comprehensive treatment approach that facilitates early patient recovery and reduces postoperative *** To compare the effectiveness of traditional perioperative management methods with the ERAS protocol in elderly patients with gallbladder stones and a high *** This retrospective cohort study examined data from 198 elderly patients with a high BMI who underwent cholecystectomy at the Shanghai Fourth People s Hospital from August 2019 to August *** them,99 patients were managed using the traditional perioperative care approach(non-ERAS protocol),while the remaining 99 patients were managed using the ERAS *** indicator data were collected for patients preoperatively,intraoperatively,and postoperatively,and surgical outcomes were compared between the two *** The comparison results between the two groups of patients in terms of age,sex,BMI,underlying diseases,surgical type,and preoperative hospital stay showed no statistically significant ***,the ERAS group had a significantly shorter preoperative fasting time than the non-ERAS group(4.0±0.9 h vs 7.6±0.9 h).Regarding intraoperative indicators,there were no significant differences between the two groups of ***,in terms of postoperative recovery,the ERAS protocol group exhibited significant advantages over the non-ERAS group,including a shorter hospital stay,lower postoperative pain scores and postoperative hunger scores,and higher satisfaction *** readmission rate was lower in the ERAS protocol group than in the non-ERAS group(3.0%vs 8.1%),although the difference was not ***,there were significant differences between the two groups in terms of postoperative nausea and vomit
维普期刊数据库