ERAS Protocols for the Perioperative Management of Peds Colorectal Surgery | 10 studies Meta-analysis | 1298 patients | ERAS protocol: | Significantly lessened intra-op fluids & post-op opioid usage | Shortened time to bowel return, first enteral nutrition & oral intake | Lowered readmission rate in 30 days (RR: 0.61) | Shortened length of hospital stay & reduced hospital costs | Statistical power of the readmission rate in 30 days: 64.37% | Analysis of the post-op complications achieved a statistical power: 26.84% | Conclusion: The study shows that the ERAS protocol improves rehabilitation, reduces hospital stays, and lowers costs in pediatric colorectal surgery patients. | https://pubmed.ncbi.nlm.nih.gov/36610934/ | @StayCurrentMD | Source: Su Y et al. Urology, Surgical Oncology, and Neurosurgery Department, Urumqi First People's Hospital (Children's Hospital), Urumqi, China | @EmGooteeMD | Cincinnati Children's | Journal of Pediatric Surgery
Meta-Analysis of Enhanced Recovery After Surgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery JPS
Infographic · Feb 2024 · 1 min read
In brief
In brief
Meta-analysis of 1,298 pediatric patients demonstrates that ERAS protocols in colorectal surgery significantly reduce hospital stay, intraoperative fluids, opioid use, and costs while accelerating bowel function recovery. Complication rates remain comparable to traditional care, supporting ERAS adoption in pediatric populations.
- ERAS protocols reduce hospital length of stay by 1.5 days in pediatric colorectal surgery without increasing complication rates.
- ERAS significantly decreases postoperative opioid consumption and accelerates return of bowel function by 12 hours.
- Implementation of ERAS in pediatric colorectal cases reduces hospital costs while lowering 30-day readmission rates by 39%.
- ERAS protocols enable earlier enteral nutrition (21 hours sooner) and oral intake compared to traditional perioperative management.
- Meta-analysis of 1,298 patients demonstrates ERAS safety profile is comparable to conventional care in pediatric populations.
Written by the GCMD Library team from the infographic.
The infographic uses a teal and yellow color scheme with three main sections. The top features illustrated binders and a pediatric consultation scene. The middle section lists protocol benefits with yellow highlighted keywords. The bottom shows statistical power percentages and a conclusion box in yellow.
Yingchun Su, Lu Xu, Jinhui Hu, Jiayinaxi Musha, Song Lin
Objective: This meta-analysis aimed to investigate the effects and safety of enhanced recovery after surgery (ERAS) for the management of pediatric colorectal surgery.
Methods: We retrieved relevant studies from PubMed, EMBASE, the Cochrane Library, and China National Knowledgement Infrastructure (CNKI) from its inception until 20 May 2022. Meta-analysis was performed using RevMan 5.4, and power analysis was calculated using G∗Power 3.1.
Results: Ten studies involving 1298 patients were included for meta-analysis. Meta-analysis suggested that ERAS protocol significantly lessened intraoperative fluids (mean difference [MD], -3.11; 95% confidence interval, -4.99 to -1.22) and postoperative opioid usage (MD, -0.58; 95% CI, -1.08 to -0.26), shortened time to bowel return (MD, -12.02; 95% CI, -20.03 to -4.02), first enteral nutrition (MD, -20.88; 95% CI, -28.34 to -13.42) and oral intake (MD, -1.40; 95% CI, -1.96 to -0.84), lowered readmission rate in 30 days (relative risk [RR], 0.61, 95% CI, 0.41 to 0.90), shortened length of hospital stay (MD, -1.50; 95% CI, -1.25 to -1.09), and reduced in-hospital costs (MD, -0.26; 95% CI, -0.34 to -0.18); however, there was a comparable rate of postoperative complications between the two groups. Sensitivity analysis significantly changed the result of the readmission rate in 30 days. The statistical power of all outcomes ranged from 26.84% to 99.44%.
Conclusions: Our findings demonstrate the beneficial role of the ERAS protocol in accelerating rehabilitation, shortening the length of hospital stay, and decreasing in-hospital costs among pediatric patients undergoing colorectal surgery.