Enhanced recovery after surgery (ERAS) improves SF-12 scores in patients undergoing gynecologic surgery: “positive butterfly effect”
Acta Medica Mediterranea, cilt.35, sa.4, ss.2277-2282, 2019 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 4
- Basım Tarihi: 2019
- Doi Numarası: 10.19193/0393-6384_2019_4_357
- Dergi Adı: Acta Medica Mediterranea
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.2277-2282
- Anahtar Kelimeler: Abdominal hysterectomy, Enhanced recovery after surgery, Quality of Life
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: We hypothesised that utilising the enhanced recovery after surgery (ERAS) protocol to manage abdominal hysterectomy patients might impact their quality of life one-month post-surgery, which was assessed via the 12-item Short-form Health Survey (SF-12). Materials and methods: In this prospective, randomised, and controlled study, we enrolled 99 patients who had undergone an abdominal hysterectomy procedure. Patients were randomised to receive either the ERAS protocol or conventional care. Demographic variables, abdominal hysterectomy indications, the postoperative hospital stay length (measured in days), and any readmissions to the emergency room (ER), as well as the reasons for readmission, were recorded, and SF-12 health survey scores were evaluated one month post abdominal hysterectomy. Results: The average postoperative hospital stay length (2.6±0.9 days vs 3.1±1.2 days; p=0.03) and number of readmissions to the ER (11.3% vs 31.1%; p=0.03) were significantly decreased in the ERAS group when compared to the conventional care group. There were no statistically significant differences between groups on physical functioning, role physical, or general health scores. Bodily pain, vitality, social functioning, role emotional, and mental health scores were significantly increased in the ERAS group (p<0.05 for all comparisons). Differences in the physical component summary and satisfaction rate were not statistically significant between groups (p>0.05 for all comparisons), but mental health summary scores were significantly higher in the ERAS group when compared to the conventional care group (53.6± 11.8 vs. 47.7 ± 13.9, p=0.008). Conclusion: ERAS improved patients’ quality of life one-month post-surgery, but additional studies are needed to improve the clinical pathway of ERAS in a dynamic way, especially the physical aspects of quality of life.