Results of Compliance with the Postoperative Multimodal Recovery Program in Colon Operated Patients

Abstract

Introduction: Post-operative Recovery multimodal programs represent a new paradigm of perioperative care for early and quality postoperative recovery.

Objective: To evaluate compliance with the measures implemented as part of the ERAS program and their impact on the evolution of colon patients in the Hermanos Ameijeiras Clinical Surgical Hospital.

Methods: Observational, descriptive and prospective study of a series of 204 adult patients operated on the colon between September 2017 and September 2022, to which the actions corresponding to the institutional postoperative recovery program were applied. The variables post-operative stay, complications, readmissions, reoperations, restoration of gastrointestinal function and mortality were studied. As summary measures, percentages were applied for qualitative variables, and the mean with its standard deviation for quantitative variables, as well as the Chi square test   or Student’s t in comparisons, (significance level 0.05).

Results: Overall compliance with the program was 74 per cent. Patients with 70 % or more compliance had a shorter stay, fewer complications and better recovery of the gastrointestinal tract. Complications predominated in patients with lower complication.

Conclusions: Compliance with the actions planned as part of the post-operative recovery program had a positive impact on the post-operative outcomes of patients receiving resections of the colon. When this was greater than 70 % it was associated with faster recovery of gastrointestinal function, reduction of complications and postoperative stay of patients.