Document Detail


Implementing fast-track protocol for colorectal surgery: a prospective randomized clinical trial.
MedLine Citation:
PMID:  19707815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Fast-track protocols are followed by an enhanced recovery, early return to bowel function and to complete nutrition, and a reduced hospital stay. Our study was designed to implement fast-track protocol in our university hospital.
METHODS: The 96 consecutive patients with colorectal neoplasm included in the study were randomized in two equal groups: group 1 (FT) included patients undergoing colorectal surgery in a fast-track protocol, and group 2 (C) included patients undergoing colorectal surgery with a conventional care protocol. As with other fast-track protocols, our protocol included carbohydrate fluids load before operation, early mobilization and oral feeding, regular prokinetics, and multimodal postoperative analgesia. Time to restoration of bowel function, to complete mobilization and feeding, length of hospital stay, and incidence of complications and readmissions were monitored.
RESULTS: Time to mobilization, restoring of bowel function, and complete oral feeding were significantly shorter with fast-track protocol (p = 0.001, p = 0.042, and p = 0.01, respectively). Hospital stay also was shorter in the fast-track group (p = 0.001). The incidence of complications did not significantly differ with the study groups.
CONCLUSIONS: In our study, fast-track protocol resulted in a shorter time to mobilization, complete feeding, and discharge from hospital. Fast-track protocol did not increase the incidence of complications. However, we consider that our data require further confirmation with powered multicenter national studies.
Authors:
Daniela Ionescu; Cornel Iancu; Daniela Ion; Nadim Al-Hajjar; Simona Margarit; Lucian Mocan; Teodora Mocan; Delia Deac; Raluca Bodea; Horatiu Vasian
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  World journal of surgery     Volume:  33     ISSN:  1432-2323     ISO Abbreviation:  World J Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-12     Completed Date:  2010-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2433-8     Citation Subset:  IM    
Affiliation:
Department of Anesthesia and Intensive Care, University of Medicine and Pharmacy, Iuliu Hatieganu, Cluj-Napoca, Romania. dionescuati@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Clinical Protocols*
Colectomy / methods*
Colorectal Neoplasms / surgery*
Female
Hospitals, University
Humans
Male
Middle Aged
Prospective Studies
Rectum / surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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