Abstract
Abstract
Background
Enhanced recovery after surgery (ERAS) interventions aim to improve patient outcomes. Vascular surgery patients have unique requirements and it is unclear which ERAS interventions are supported by an evidence base.
Methods
We conducted a scoping review to identify ERAS randomized controlled trials (RCTs) published in the biomedical or nursing literature. We assessed interventions for applicability to vascular surgery and differentiated interventions given at preadmission, preoperative, intraoperative, and postoperative surgery stages. We documented the research in an evidence map.
Results
We identified 76 relevant RCTs. Interventions were mostly administered in preoperative (23 RCTs; 30%) or intraoperative surgery stages (35 RCTs; 46%). The majority of studies reported mortality outcomes (44 RCTs; 58%), but hospital (27 RCTs; 35%) and intensive care unit (9 RCTs; 12%) length of stay outcomes were less consistently described.
Conclusion
The ERAS evidence base is growing but contains gaps. Research on preadmission interventions and more consistent reporting of key outcomes is needed.
Funder
Patient-Centered Outcomes Research Institute
Publisher
Springer Science and Business Media LLC
Reference85 articles.
1. Melloul E, Hubner M, Scott M, et al. Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations. World J Surg. 2016;40(10):2425–40. https://doi.org/10.1007/s00268-016-3700-1.
2. Society for Vascular Surgery. What is a vascular surgeon?. https://vascular.org/patient-resources/what-vascular-surgeon. Accessed 29 Apr 2022.
3. Society for Vascular Surgery. Clinical Practice Guidelines. https://vascular.org/research-quality/guidelines-and-reporting-standards/clinical-practice-guidelines. Accessed 29 Apr 2022.
4. Miake-Lye IM, Hempel S, Shanman R, Shekelle PG. What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products. Systematic reviews. 2016;5:28. https://doi.org/10.1186/s13643-016-0204-x.
5. Rollison J, Woo K, Chen C, Yagyu S, Motala A, Hempel S. Enhanced Recovery After Surgery for Vascular Surgery. 2019. https://www.pcori.org/sites/default/files/PCORI-Topic-Brief-Enhanced-Recovery-After-Surgery-for-Vascular-Surgery.pdf.