A Novel Digital Health Platform With Health Coaches to Optimize Surgical Patients: Feasibility Study at a Large Academic Health System
Note: Article is Pip Care’s published outcomes Background:Pip is a novel digital health platform (DHP) that combines human health coaches (HCs) and technology with patient-facing content. This combination has not been studied in perioperative surgical optimization. Objective:This study’s aim was to test the feasibility of the Pip platform for deploying perioperative, digital, patient-facing optimization guidelines […]
The Benefits of Enhanced Recovery After Surgery Programs and Their Application in Cardiothoracic Surgery
Abstract The perioperative care of the surgical patient is undergoing a paradigm shift. Enhanced Recovery After Surgery (ERAS) programs are becoming the standard of care and best practice in many surgical specialties throughout the world. ERAS is a multimodal, multidisciplinary, evidence-based approach to care of the surgical patient that aims to optimize perioperative management and […]
The Enhanced Recovery After Surgery (ERAS) Elements that Most Greatly Impact Length of Stay and Readmission
Background Enhanced recovery after surgery (ERAS) protocols have been shown to decrease length of stay (LOS) and improve patient outcomes in a wide variety of surgical fields; however, barriers exist preventing the implementation of all elements. We hypothesize that a subset of ERAS elements are most influential on LOS and readmission following colorectal surgery. Study […]
Is enhanced recovery enough for reducing 30-d readmissions after surgery?
Background Few enhanced recovery pathways (ERPs) include processes related to the hospital to home transfer. Little has been reported regarding readmissions in enhanced recovery programs. This study evaluates readmissions and identifies areas to optimize ERPs to prevent readmissions. Methods We conducted an observational, retrospective study at a single tertiary care center. Patients in an ERP […]
Impact of structured multicentre enhanced recovery after surgery
(ERAS) protocol implementation on length of stay after colorectal surgery Background Increased length of stay after surgery is associated with increased healthcare utilization and adverse patient outcomes. While enhanced recovery after surgery (ERAS) protocols have been shown to reduce length of stay after colorectal surgery in trial settings, their effectiveness in real-world settings is more […]
Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery
Implementing an enhanced recovery after surgery program for cesarean delivery is associated with reduced length of stay, cost of care, and opioid analgesia use. OBJECTIVE: To examine the results of a quality-improvement study that implemented an enhanced recovery after surgery (ERAS) program for cesarean delivery. METHODS: A pre–post design was used to assess changes in […]
Enhanced Recovery After Surgery Guidelines
A Meta-Analysis of Randomized Clinical Trials Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality Key Points Question Does the adoption of enhanced recovery after surgery (ERAS) guidelines decrease hospital length of stay, hospital readmission, complications, and mortality? Findings In this meta-analysis of 74 randomized clinical trials with 9076 participants, the ERAS […]