Date of Award/Publication

12-2017

Document Type

Thesis

Degree Name

M.S. in Advanced Practice Nursing

First Supervisor

Christine Nelson Tuttle

Second Supervisor

Heather McGrane Minton

Abstract

Abstract

Background: Enhanced Recovery After Surgery (ERAS) protocols are evidence-based multimodal pathways that optimize the perioperative care of patients undergoing complex surgeries. The goal is to promote acute recovery as demonstrated by decreased length of stay (LOS) with no negative impact on the complication or readmission incidence. There is limited adoption of ERAS protocols for major pancreatic surgeries such as pancreaticoduodenectomy (i.e., Whipple surgery).

Objectives: The primary aim of this study was to evaluate if outcomes such as LOS, readmission (within 30 days of initial hospitalization), and complication occurrence were improved after the application of the ERAS protocol in patients undergoing Whipple surgery.

Methods: The current study was a retrospective chart review from March 2016 until March 2017. A total of 13 patients were analyzed, Pre-ERAS (n=7) and Post-ERAS (n=6). The data were collected from the Electronic Medical Record. Data six months prior to implementation and six months post implementation were collected and analyzed.

Findings: Recovery time was shorter in Post-ERAS patient than the Pre-ERAS group. Mean LOS was 6.8 (5-10) days in Post ERAS and 8.6 (5-14) days in Pre ERAS (t = -1.1, p = 0.28). LOS was reduced Post ERAS by a total of 1.2 days. However, while no Pre ERAS patient were readmitted within 30 days, 33% of post ERAS patient were readmitted. Complications incidence was reduced from 71% in Pre ERAS to 66% Post ERAS. There were no mortalities.

Download

Included in

Nursing Commons

Share

COinS