ERAS Protocol in Laparoscopic Hysterectomy

Surgery Clinical Trial

Official title:

The Impact of Implementing ERAS Protocol on Healthcare Costs in Patients Undergoing Laparoscopic Hysterectomy

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03986450
• Other study ID #: AYSUAKCA2
• Status: Not yet recruiting
• Phase: N/A
• Start date: June 20, 2019
• Est. completion date: July 18, 2019

Study information

• Verified date: June 2019
• Source: Kanuni Sultan Suleyman Training and Research Hospital
• Contact: Aysu Akca, MD
• Phone: +902124041500
• Email: aysuakca4[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

ERAS protocol has been shown to improve patient comfort and reduce the length of hospital stay. This study aimed to investigate the impact of implementing ERAS protocols on healthcare costs in patients undergoing a laparoscopic hysterectomy.

Description:

ERAS protocol has been shown to improve patient comfort and reduce the length of hospital stay in various kinds of surgical procedures. This study aimed to investigate whether ERAS protocol has an impact on healthcare costs in patients undergoing a laparoscopic hysterectomy. Patients scheduled for laparoscopic hysterectomy will be allocated to one of the study groups: ERAS group patients will receive ERAS protocol during the perioperative period; Conventional care groups will undergo standard abdominal hysterectomy without the implementation of ERAS protocol. The groups will be compared with respect to the length of hospital stay, rehospitalizations, and healthcare costs.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: July 18, 2019
• Est. primary completion date: July 15, 2019
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• Must be scheduled for laparoscopic hysterectomy

Exclusion Criteria:

• American Society of Anesthesiologists (ASA) class IV

• Development of complications during surgery

• Body mass index > 40 kg/m2

Related Conditions & MeSH terms

• Surgery

Intervention

Other:
• Enhanced recovery after surge(ERAS) protocol
The components of ERAS multidisciplinary pathway concerning preoperative, operative, and postoperative period are as follows: Preoperative care: Counseling before hospital admission Fluid, and carbohydrate loading Avoiding prolongation of the fasting period Avoiding bowel preparation or its application only in selective cases Application of antibiotic prophylaxis Application of thromboprophylaxis Perioperative care: Use of short-acting anesthetic agents Application of midthoracic, epidural anesthesia/analgesia Refraining from using drains Refraining from salt, and water overload Maintenance of normothermia Postoperative care: Application of midthoracic, epidural anesthesia/analgesia Prevention of nausea, and vomiting Refraining from salt, and water overload Earlier removal of catheters Initiation of oral intake at an early period Use of nonopioid oral analgesics/NSAIDs Early mobilization

Locations

Country	Name	City	State
Turkey	Department of Obstetrics and Gynecology, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital,	Istanbul	Please Enter The State Or Province

Sponsors (1)

Lead Sponsor	Collaborator
Kanuni Sultan Suleyman Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Healthcare costs	Hospital costs will be obtained from the accounting office of the hospital	Up to one month
Secondary	Length of stay	Length of hospital stay	Up to one month