ERAS protocol in the treatment of older people

Monika Prylińska, Jakub Husejko, Natalia Skierkowska, Daria Bieniek, Iga Rupniak, Alicja Wycech, Patryk Gaborek, Joanna Osiak, Ewa Rozmarynowicz, Małgorzata Gajos, Weronika Topka, Agnieszka Kudanowska, Kornelia Kędziora-Kornatowska

Abstract


Background: The guidelines for elderly recommend nutritional assessment in order to prevent malnutrition and make fast recovery after operation and mobilization possible. The ERAS protocol shortens the length of hospital stay and reduces the complication rate.
Material and methods: A systematic review of published literature has been done for the factors reported to predict outcomes of enhanced recovery after surgery (ERAS) among the elderly patients.
Results: The improvement of treatment effects must be supported by a multidisciplinary medical team involved in the whole process with holistic approach which reduces time of regeneration and cost of health care
Conclusions: ERAS protocol implementation is highly beneficial for operated patients due to faster recovery and strong psychological support by providing information concerning the perioperative period and reducing stress caused by the surgery. However, must be supported by a team of professional medical staff.

Keywords


enhanced recovery after surgery; perioperative care; older people

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References


Pędziwiatr M., Kisialeuski M., Wierdak M., Stanek M., Natkaniec M, Matłok M, Major P., Małczak P., Budzyński A. Early implementation of Enhanced Recovery After Surgery (ERAS) protocol – Compliance improves outcomes: A prospective cohort study. International Journal of Surgery, 2015, 21: 75-81.

Cakir, H. , Stijn, M. F., Lopes Cardozo A. M., Langenhorst, B. L., Schreurs, W. H., Ploeg, T. J., Bemelman, W. A. and Houdijk, A. P. (2013), Adherence to Enhanced Recovery After Surgery and length of stay after colonic resection. Colorectal Dis, 15: 1019-1025.

Gustafsson UO, Hausel J, Thorell A, et al. Adherence to the Enhanced Recovery After Surgery Protocol and Outcomes After Colorectal Cancer Surgery. Arch Surg. 2011;146(5):571–577.

Miller TE, Thacker JK, White WD. , et al; Enhanced Recovery Study Group. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg 2014; 118 (05) 1052-1061.

Chopra S. S., Schmidt S. C., Fotopoulou C., Sehouli J., Schumacher G. (2009). Evidence-base Perioperative Management: Strategic Shift in Times of Fast Track Surgery. Anicancer research, 29, 2799-2802.

Piotrkowska R., Terech S., Książek J. (2014) Opieka pielęgniarska nad chorym z tętniakiem aorty brzusznej w zależności od metody leczenia i trybu przyjęcia do szpitala. Problemy Pielęgniarstwa, 22(3), 406-411.

Bu J., Li N., Huang X., He S., Wen J., Wu X. (2015). Feasibility of Fast-Track Surgery in Elderly Patients with Gastric Cancer. Journal Gastrointestinal Surgery, 19, 1391-1398.

Wang G., Jiang Z., Xu J., Gong J., Bao Y., Xie L., Li J. (2011). Fast-track rehabilitation program vs conventional care after colorectal resection: A randomized clinical trial. World Journal of Gastroenterology, 17(5), 671-676.

Nanavati A. J., Prabhakar S., (2014). A comparative Study od ‘Fast-Track’ Versus Traditional Peri-Operative Care Protocols in Gastrointestinal Surgeries. Journal Gastrointestinal Surgery, 18, 757-767.

Pędziwiatr, M., Mavrikis, J., Witowski, J., Adamos, A., Major, P., Nowakowski, M., & Budzyński, A. (2018). Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery. Medical Oncology, 35(6), 95.

Ljungqvist, O. &Hubner, Enhanced recovery after surgery—ERAS—principles, practice and feasibility in the elderly M. Aging Clin Exp Res (2018) 30: 249.

ERAS Society recommendation. http://erassociety.org/guidelines/list-of-guidelines/. Access 10.03.2019.

Halaszynski T.M., JudaR, Silverman D.G. Optimizing postoperative outcomes with efficient preoperative assessment and management. Crit Care Med 2004;32 (4) ((suppl)) S76- S86.

Brady M., Kinn S., Stuart P., Ness V.Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev 2003; (4) CD004423.

Jones C., Badger S.A., Hannon R. The role of carbohydrate drinks in preoperative nutrition for elective colorectal surgery. Ann Coll Surg Engl. 2011 Oct; 93(7): 504–507.

Bandt A. L.; OAKES, F. D. PREANESTHESIA MEDICATION: double-blind study of a new drugs. Anesthesia & Analgesia: January-February 1965.

Smith A.F., Pittaway A.J. Premedication for anxiety in adult day surgery. Cochrane Database Syst Rev. 2000;(3):CD002192.

MelnykM.,. Casey R. G, Black P., Koupparis A, J., Enhanced recovery after surgery (ERAS) protocols: Time to change practice? 2011 Oct; 5(5): 342–348.

Nelson, G., Altman, A. D., Nick, A., Meyer, L. A., Ramirez, P. T., Achtari, C., Antrobus, J., Huang, J., Scott, M., Wijk, L., Acheson, N., Ljungqvist, O., Dowdy, S. C. Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part I.

Hübner M., Scott M., Champagne B. | Postoperative Ileus: Prevention and Treatment. W: The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer International Publishing Switzerland, 2015: pp 133-146.

Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, McNaught CE, Macfie J, Liberman AS, Soop M, Hill A, Kennedy RH, Lobo DN, Fearon K, Ljungqvist O; Enhanced Recovery After Surgery (ERAS) Society, for Perioperative Care; European Society for Clinical Nutrition and Metabolism (ESPEN); International Association for Surgical Metabolism and Nutrition (IASMEN). World J Surg. 2013 Feb;37(2):259-84.

Werner, C. The Older Population: 2010. U.S. Census Bureau, Washington, DC; 2011

Dall, T.M., Gallo, P.D., Chakrabarti, R. et al. An aging population and growing disease burden will require a large and specialized health care workforce by 2025. Health Aff (Millwood). 2013; 32: 2013–2020.

Ergina, P. L., Gold, S. L., &Meakins, J. L. (1993). Perioperative care of the elderly patient. World journal of surgery, 17(2), 192-198.

Lassen, K., Soop, M., Nygren, J., Cox, P. B. W., Hendry, P. O., Spies, C., ... &Ljungqvist, O. (2009). Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Archives of surgery, 144(10), 961-969.

Yamada, T., Hayashi, T., Cho, H., Yoshikawa, T., Taniguchi, H., Fukushima, R., &Tsuburaya, A. (2012). Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery. Gastric cancer, 15(1), 34-41.

Wells JC: Obesity as malnutrition: the dimensions beyond energy balance. Eur J ClinNutr 2013 May; 67 (5): 507-512.

Lochs H, Valentini L, Schütz T et al .: ESPEN Guidelines on adult enteral nutrition. Clinical Nutrition 2006; 25: 177-360.

Yuill KA, Richardson RA, Davidson HI: The administration of an oral carbohydrate-containing fluid prior to major elective upper gastrointestinal surgery preserves skeletal muscle mass postoperatively - a randomized clinical trial. ClinNutr 2005; 24: 32-37.

Henriksen MG, Hessov I, Dela F et al .: Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery. ActaAnaesthesiolScand 2003 Feb; 47 (2): 191-199.

Kudsk KA, Croce MA, Fabian TC et al .: Enteral versus parenteral feeding. Effects on septic morbidity after blunt and penetrating abdominal trauma. Ann Surg 1992; 215: 503-511.

Meyenfeldt von M, Meijerink W, Roufflart M et al .: Perioperative nutritional support: a randomized clinical trial. ClinNutr 1992; 11: 180-186.

Cano NJM, Aparicio M, Brunori G et al .: ESPEN Guidelines for adult parenteral nutrition. Clinical Nutrition 2009; 28: 359-479.

Sobocki J.: Nutritional treatment in burgery. Post N Med. 2016; XXIX(3): 187-189.

Watt, D.G., McSorley, S.T., Horgan, P.G., McMillan, D.C. (2015). ENHANCED RECOVERY AFTER SURGERY: WHICH COMPONENTS, IF ANY, IMPACT ON THE SYSTEMIC INFLAMMATORY RESPONSE FOLLOWING COLORECTAL SURGERY?: A SYSTEMATIC REVIEW. Medicine Baltimore, 94(36), e1286.

Mari, G., Costanzi, A., Crippa, J., Falbo, R., Miranda, A., Rossi, M., Berardi, V., Maggioni, D. (2016). SURGICAL STRESS REDUCTION IN ELDERLY PATIENTS UNDERGOING ELECTIVE COLORECTAL LAPAROSCOPIC SURGERY WITHIN AN ERAS PROTOCOL. Chirurgia (Bucur), 111(6), 476-480.

Brenner, H. Long-term survival rates of cancer patients achieved by the end of the 20th century: a period analysis. Lancet, 2002, 360(9340): 1131-1135.

Gustafsson, U. O., Oppelstrup, H., Thorell, A., Nygren, J., Ljunggvist, O. Adherence to the ERAS protocol is Associated with 5-Year Survival After Colorectal Cancer Surgery: A Retrospective Cohort Study. World Journal of Surgery, 2016, 40(7): 1741-1747.

Kisialeuski, M., Pędziwiatr, M., Matłok, M., Major, P., Migaczewski, M., Kołodziej, D., Zub-Pokrowiecka, A., Pisarska, M., Budzyński, P., Budzyński, A. Enhanced recovery after colorectal surgery in elderly patients. Videosurgery and Other Miniinvasive Techniques, 2015, 10(1): 30-36.

Kahokehr, A., Sammour, T., Zargar-Shoshtari, K., Thompson, L., Hill, A. G. Implementation of ERAS and how to overcome the barriers. International Journal of Surgery, 2009, 7(1): 16-19.




DOI: http://dx.doi.org/10.5281/zenodo.2596527

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