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ESRA19-0107 Are our patients satisfied with the care received with the ERAS (enhanced recovery after surgery) protocol in elective colorectal surgery?
  1. M Cabellos1,
  2. R Muñoz1,
  3. M Labalde2,
  4. M Torralba3,
  5. JR Rodriguez Fraile1 and
  6. JC Atance Martínez4
  1. 1Anesthesiology, Anesthesia, Guadalajara, Spain
  2. 212 October Hospital, Madrid, Surgery, Department of Surgery, Madrid, Spain
  3. 3Internal Medical Service, University Hospital of Guadalajara, Department of Internal Medical Service, University Hospital of Guadalajara, Guadalajara, Spain
  4. 4University Hospital of Guadalajara, Spain, Department of Health Inspection, Guadalajara, Spain

Abstract

Background and aims The aim of this study was to know patient´s satisfaction after the implementation of an ERAS protocol in elective colorectal surgery (EQRS). It is based in the RICA (Intensive Recovery in Abdominal Surgery) program published in 2014 by the Ministry of Health, Social Services and Qquality of Spain.

Methods Inclusion criteria: ECRS, ≥18 years, appropriate cognitive state and ASA I-II-III. Exclusion criteria: urgent surgery and higher concomitant surgical processes. Four days after hospital discharge, a telephone survey was carried out based on the RICA clinical survey. It was performed on the first 119 patients who underwent ECRS according to an ERAS protocol.

Results The mean compliance of the protocol was 72.5%. 112 (94.2%) patients were very satisfied with care and treatment received by the health staff, 6 (5%) quite satisfied, and 1 (0.8%) dissatisfied. 118 patients (99.2%) would be reoperated according to this protocol. Most of them considered that the information given by surgeons (94 [79%]) and anesthethics (99 [83.2%]) was very good, and they valued the pre-anesthesia consultation as one of the most positive aspects of the protocol. 80 (67%) did not have nausea and vomiting in the postoperative period. 94 (77.69%) patients rated their pain during hospital admission as ≤3 with the Visual Analogue Scale (VAS).

Conclusions Most of the patients operated on ECRS according to an ERAS protocol were very satisfied or satisfied with the assistance received. Standardized surveys are needed to compare results

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