Enhanced Recovery After Surgery Clinical Trial
Official title:
Investigation of the Effect of Enhanced Recovery After Surgery (ERAS) Program on Postoperative Results of Patients Operated for Open Heart Surgery
Investigation of the effect of Enhanced Recovery After Surgery (ERAS) program on postoperative results of patients operated for open heart surgery.
The ERAS protocol, also known as evidence based "fast-track surgery" (FTS), is an evidence
based combination of findings regarding suggestions for patient care on various levels of the
perioperative period, which work in synergy for accelerating the postoperative recovery
period. It has been used sucessfully for many surgical disciplines, primarily colorectal
surgery, since it was first reported in 1997. However, there is a significant insufficiency
of this patient oriented rehabilitation program regarding cardiovascular surgeries. This
study is to compare the postoperative follow up periods of patients with ERAS protocol and
patients with standard protocol who were both operated for cardiac surgery.
Following approval of the local ethics committee, 210 patients who are operated for elective
cardiac surgery are enrolled in this prospective randomized clinical trial. The patients who
are not applied the ERAS protocol are evaluated in the control group (n=51). The findings
regarding the patients under ERAS protocol are evaluated based on evidence. Our primary is to
compare the durations of stay in the intensive care unit and in hospital; our secondary is to
compare the incidences of complications of the groups. The demographic data, operative
measurements, complication rates, the amounts of perioperative bleeding and drainage and the
duration of stay in the intensive care unit and hospital are recorded.
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