Opioid use and length of stay following minimally invasive pectus excavatum repair in 436 patients – Benefits of an enhanced recovery pathway
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Read the article on jpedsurg.org ↗Article · Mar 2019 · 1 min read
In brief
In brief
This retrospective study of 436 patients demonstrates that implementing an enhanced recovery pathway for minimally invasive pectus excavatum repair significantly reduces both opioid consumption and hospital length of stay compared to traditional perioperative management, supporting adoption of ERP protocols in pediatric thoracic surgery.
Written by the GCMD Library team from the article.
Purpose
The purpose of this study was to determine outcomes of an enhanced recovery pathway (ERP) for minimally invasive repair of pectus excavatum (MIRPE) at a high volume center, hypothesizing it is associated with decreased opioid requirement and shorter hospital stay.
Methods
Patients were categorized into pre-ERP (1998–2006), transition (2007–2011), and ERP (2012–2017) cohorts. Data were abstracted from medical records. Univariate and multivariable analyses compared opioid utilization, length of stay (LOS), and complications between cohorts. Opioids were converted to morphine daily dose per kilogram (MEDD/kg).
Results
Of 436 patients, 186 were ERP, 104 were transition, and 146 were pre-ERP. ERP was associated with decreased hospital opioid utilization (mean MEDD/kg 0.5 ± 0.2 vs 0.7 ± 0.4 vs 0.7 ± 0.8 p