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Enhanced recovery after cesarean from the patient perspective: a prospective study of the ERAC Questionnaire (ERAC-Q).
- Source :
-
Journal of Perinatal Medicine . Jan2024, Vol. 52 Issue 1, p14-21. 8p. - Publication Year :
- 2024
-
Abstract
- To evaluate the impact of an Enhanced Recovery After Cesarean (ERAC) protocol on the post-cesarean recovery experience using a validated ten-item questionnaire (ERAC-Q). This is a prospective cohort study of patients completing ERAC quality-of-life questionnaires (ERAC-Q) during inpatient recovery after cesarean delivery (CD) between October 2019 and September 2020, before and after the implementation of our ERAC protocol. Patients with non-Pfannenstiel incision, ICU admission, massive transfusion, bowel injury, existing chronic pain disorders, acute postpartum depression, or neonatal demise were excluded. The ERAC-Q was administered on postoperative day one and day of discharge to the pre- and post-ERAC implementation cohorts, rating aspects of their recovery experience on a scale of 0 (best) to 10 (worst). The primary outcome was ERAC-Q scores. Statistical analysis was performed with SAS software. There were 196 and 112 patients in the pre- and post-ERAC cohorts, respectively. The post-ERAC group reported significantly lower total ERAC-Q scores compared to the pre-ERAC group, reflecting fewer adverse symptoms and greater perceived recovery on postoperative day one (1.6 [0.7, 2.8] vs. 2.7 [1.6, 4.3]) and day of discharge (0.8 [0.3, 1.5] vs. 1.4 [0.7, 2.2]) (p<0.001). ERAC-Q responses did not predict the time to achieve objective postoperative milestones. However, worse ERAC-Q pain and total scores were associated with higher inpatient opiate use. ERAC implementation positively impacts patient recovery experience. The administration of ERAC-Q can provide real-time feedback on patient-perceived recovery quality and how healthcare protocol changes may impact their experience. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PATIENTS' attitudes
*PRE-tests & post-tests
*MEDICAL protocols
*QUESTIONNAIRES
*QUALITY of life
*POSTOPERATIVE period
*DESCRIPTIVE statistics
*ENHANCED recovery after surgery protocol
*CESAREAN section
*DATA analysis software
*ADVERSE health care events
*OPIOID analgesics
*LONGITUDINAL method
*POSTOPERATIVE pain
Subjects
Details
- Language :
- English
- ISSN :
- 03005577
- Volume :
- 52
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Perinatal Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 174762220
- Full Text :
- https://doi.org/10.1515/jpm-2023-0234