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Enhanced recovery after gynecological surgery: A meta‐analysis of randomized controlled trials.
- Source :
- Nursing & Health Sciences; Mar2023, Vol. 25 Issue 1, p30-43, 14p
- Publication Year :
- 2023
-
Abstract
- Enhanced recovery after surgery protocol is a multidisciplinary and multimodal approach designed to improve perioperative outcomes for patients. This meta‐analysis aimed to identify and elaborate on the efficacy of this protocol in women undergoing gynecologic surgery. Four databases were searched for randomized controlled trials from inception to December 2021. A total of 14 studies met the inclusion criteria and were analyzed. There was a significant reduction in the length of stay, the time to first flatus and first defecation, complications, and readmission rates in patients undergoing enhanced recovery after surgery when compared to routine care. The rate of discharge on the first postoperative day significantly increased in patients from the enhanced recovery group. There was no significant difference in the surgery time and blood loss. In conclusion, the enhanced recovery after surgery protocol might have a positive effect on patients undergoing gynecologic surgery. However, there is still heterogeneity between the included studies, and we need more research to draw reliable conclusions that enhanced recovery after surgery is favorable. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of surgical complications
PERIOPERATIVE care
ONLINE information services
MEDICAL databases
RELATIVE medical risk
LENGTH of stay in hospitals
META-analysis
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
SYSTEMATIC reviews
PATIENT readmissions
GYNECOLOGIC surgery
MEDICAL protocols
TREATMENT effectiveness
HOSPITAL admission & discharge
ENHANCED recovery after surgery protocol
MEDLINE
DATA analysis software
WOMEN'S health
Subjects
Details
- Language :
- English
- ISSN :
- 14410745
- Volume :
- 25
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Nursing & Health Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 162730454
- Full Text :
- https://doi.org/10.1111/nhs.13000