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Implementation of the pre-operative rehabilitation recovery protocol and its effect on the quality of recovery after colorectal surgeries
- Source :
- Chinese Medical Journal, Vol 134, Iss 23, Pp 2865-2873 (2021), Chinese Medical Journal
- Publication Year :
- 2021
- Publisher :
- Wolters Kluwer, 2021.
-
Abstract
- Background:. Patients’ recovery after surgery is the major concern for all perioperative clinicians. This study aims to minimize the side effects of peri-operative surgical stress and accelerate patients’ recovery of gastrointestinal (GI) function and quality of life after colorectal surgeries, an enhanced recovery protocol based on pre-operative rehabilitation was implemented and its effect was explored. Methods:. A prospective randomized controlled clinical trial was conducted, patients were recruited from January 2018 to September 2019 in this study. Patients scheduled for elective colorectal surgeries were randomly allocated to receive either standardized enhanced recovery after surgery (S-ERAS) group or enhanced recovery after surgery based on pre-operative rehabilitation (group PR-ERAS). In the group PR-ERAS, on top of recommended peri-operative strategies for enhanced recovery, formatted rehabilitation exercises pre-operatively were carried out. The primary outcome was the quality of GI recovery measured with I-FEED scoring. Secondary outcomes were quality of life scores and strength of handgrip; the incidence of adverse events till 30 days post-operatively was also analyzed. Results:. A total of 240 patients were scrutinized and 213 eligible patients were enrolled, who were randomly allocated to the group S-ERAS (n = 104) and group PR-ERAS (n = 109). The percentage of normal recovery graded by I-FEED scoring was higher in group PR-ERAS (79.0% vs. 64.3%, P 0.050). Conclusions:. Peri-operative rehabilitation exercise might be another benevolent factor for early recovery of GI function and life of quality after colorectal surgery. Newer, more surgery-specific rehabilitation recovery protocol merits further exploration for these patients. Trial Registration:. ChiCTR.org.cn, ChiCTR-ONRC-14005096
- Subjects :
- medicine.medical_specialty
Surgical stress
medicine.medical_treatment
Postoperative Complications
Quality of life
Humans
Medicine
Adverse effect
Randomized Controlled Trials as Topic
Rehabilitation
Hand Strength
business.industry
Incidence (epidemiology)
Preoperative Exercise
Recovery of Function
Original Articles
General Medicine
Perioperative
Length of Stay
Colorectal surgery
Clinical trial
Gastrointestinal function
Quality of Life
Physical therapy
Peri-operatively
Colorectal Neoplasms
Enhanced recovery after surgery
business
Subjects
Details
- Language :
- English
- ISSN :
- 25425641 and 03666999
- Volume :
- 134
- Issue :
- 23
- Database :
- OpenAIRE
- Journal :
- Chinese Medical Journal
- Accession number :
- edsair.doi.dedup.....fc16fac1795522284d81b2c17eaa5b1a