Clinical and economic outcomes of Enhanced Recovery Dissemin
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Hospitals aiming to accelerate discharge and reduce spending after surgery are increasingly adopting perioperative enhanced recovery protocols (ERPs).

The objective was to evaluate the real-world effects of enhanced recovery protocol (ERP) dissemination on clinical and economic outcomes after colectomy.

Retrospective, population-based cohort including patients in 72 hospitals in the Michigan Surgical Quality Collaborative clinical registry (N = 13,611) and/or Michigan Value Collaborative claims registry (N = 14,800) who underwent elective colectomy. Marginal effects of ERP on clinical outcomes and risk-adjusted, price-standardized 90-day episode payments were evaluated using mixed-effects models to account for secular trends and hospital performance unrelated to ERP.

- In 24 ERP hospitals, patients with Post-ERP had a significantly shorter length of stay than those with Pre-ERP, lower incidence of complications and readmissions, and lower episode payments and post-acute care.

- In mixed-effects adjusted analyses, these effects were significantly attenuated—ERP was associated with a marginal length of stay reduction of 0.4 days, and no significant difference in complications, readmissions, or overall spending.

Conclusively, ERPs are associated with a small reduction in postoperative length of hospitalization after colectomy, without unwanted increases in readmission or post-acute care spending.

Source: https://journals.lww.com/annalsofsurgery/Abstract/2021/08000/Clinical_and_Economic_Outcomes_of_Enhanced.1.aspx
Like
Comment
Share