New article you should know! From Journal of Pediatric Surgery by Dr. Cecilia Gigena
"Meta-Analysis of Enhaced Recovery After Ssurgery Protocols for the Perioperative Management of Pediatric Colorectal Surgery”
Authors: Yingchun Su, Lu Xu, Jinhui Hu, Jiayinaxi Musha, Song Lin
Full article: https://gcmd.co/3RRiwul
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.
Type: video · 0 min · posted 2024-01-10 Canonical: https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881 ## Chapters - [0:00](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=0) ERAS Protocol Meta-Analysis for Pediatric Colorectal Surgery ## Statements - "The meta-analysis was conducted in China" — Cecilia Gigena (epidemiological) [0:10](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=10) - "The meta-analysis included studies with 1,298 patients" — Cecilia Gigena (epidemiological) [0:22](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=22) - "ERAS protocols significantly reduced intraoperative fluid administration in pediatric colorectal surgery" — Cecilia Gigena (clinical) [0:27](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=27) - "ERAS protocols significantly reduced postoperative opioid use in pediatric colorectal surgery" — Cecilia Gigena (clinical) [0:27](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=27) - "ERAS protocols shortened time to bowel function return in pediatric colorectal surgery" — Cecilia Gigena (clinical) [0:34](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=34) - "ERAS protocols shortened time to first enteral nutrition in pediatric colorectal surgery" — Cecilia Gigena (clinical) [0:34](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=34) - "ERAS protocols reduced hospital length of stay in pediatric colorectal surgery" — Cecilia Gigena (clinical) [0:39](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=39) - "ERAS protocols reduced hospital costs in pediatric colorectal surgery" — Cecilia Gigena (clinical) [0:39](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=39) - "ERAS protocols are needed in pediatric colorectal surgery" — Cecilia Gigena (opinion) [0:44](https://library.globalcastmd.com/watch/meta-analysis-of-enhaced-recovery-after-ssurgery-protocols-for-the-perioperative-management-of-pediatric-colorectal-surgery-7881?t=44) ## Transcript Do you have a nearest protocol for colorectal surgery? Hi, I'm Cecilia Jigena from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a meta-analysis done in China that wanted to analyze the effects and safety of ERES particle for colorectal surgery in pediatric patients. And what did they find? They have done studies with 1,298 patients. And they found that irris particle significantly lessened intraoperative fluids and post-operative opioid use. It also shortened time to bowel return and first enteral nutrition. As well as reduce hospital length of stay and hospital costs. So it seems that ERA's protocols are in need in colorectal pediatric surgery. Let us know what you think and stay tuned for more articles that you should know about. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai