Outcomes of Fast-Track Program after Colorectal Cancer Surgery - Comparison with Conventional Method
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: To assess the effectiveness of a care map for a fast-track discharge program after colorectal cancer surgery. Methods: Ninetyninepatients who underwent colorectal surgery were retrospectively analyzed: 45 patients who were placed in a conventional program(January 3 to March 13, 2013) and 44 patients who were placed in a fast-track program using the care map (July 26 to September 24,2014). Patients in the fast-track program started eating on postoperative day 1, while those in the conventional program started eatingon post-operative day 2. complications, and pain were compared between the two groups. Results: A slight decrease in the average durationof hospitalization was observed for the fast-track group (5.31±0.98 days) compared to the conventional group (5.38±2.80 days),although this difference was not statistically significant. All other outcomes for the fast-track group were scored as 0. Furthermore, therewas no statistically significant differences between pain, narcotics administration, and non-narcotic analgesics (aside from patient-controlledanalgesia). Conclusion: The care map for the colorectal surgery fast-track program was effective and program validation andsupplementation of the active standardization early recovery program should be performed using multi-disciplinary research.
Abstract
Purpose: To assess the effectiveness of a care map for a fast-track discharge program after colorectal cancer surgery. Methods: Ninetyninepatients who underwent colorectal surgery were retrospectively analyzed: 45 patients who were placed in a conventional program(January 3 to March 13, 2013) and 44 patients who were placed in a fast-track program using the care map (July 26 to September 24,2014). Patients in the fast-track program started eating on postoperative day 1, while those in the conventional program started eatingon post-operative day 2. complications, and pain were compared between the two groups. Results: A slight decrease in the average durationof hospitalization was observed for the fast-track group (5.31±0.98 days) compared to the conventional group (5.38±2.80 days),although this difference was not statistically significant. All other outcomes for the fast-track group were scored as 0. Furthermore, therewas no statistically significant differences between pain, narcotics administration, and non-narcotic analgesics (aside from patient-controlledanalgesia). Conclusion: The care map for the colorectal surgery fast-track program was effective and program validation andsupplementation of the active standardization early recovery program should be performed using multi-disciplinary research.
참고문헌 (18)
- 이인규, "직결장 수술에서의 Fast-Track", Annals of Coloproctolgy, 26(2), pp.87~92 (2010), 대한대장항문학회
- Kumar A, "Recent Advances in Surgery", pp.59~74 (2006)
- Cheah J, "Development and implementation of a clinical pathway programme in an acute care general hospital in Singapore", Int J Qual Health Care, 12, pp.403~412 (2000)
- Lee EO, "Nursing research and statistical analysis" (2009), Soomoon-sa
- Woodhouse A, "A comparison of morphine, pethidine and fentanyl in the postsurgical patient-controlled analgesia (PCA) environment", Pain, 64, pp.115~121 (1996)
- Zhu L, "Impact of a clinical pathway on hospital costs, length of stay and early outcomes after hepatectomy for hepatocellular carcinoma", Asian Pac J Cancer Prev, 15, pp.5389~5393 (2014)
- Kim EO, "Effects of a standardized critical pathway in gastrectomy patients", 박사, pp.2004
- Wang Q, "Effectiveness of fasttrack rehabilitation vs conventional care in laparoscopic colorectal resection for elderly patients: a randomized trial", Colorectal Dis, 14, pp.1009~1013 (2012)
- Muller S, "A fasttrack program reduces complications and length of hospital stay after open colonic surgery", Gastroenterology, 136, pp.842~847 (2009)
- Delaney CP, "Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection", Dis Colon Rectum, 46, pp.851~859 (2003)
- Baek SJ, "The safety of a ‘‘fasttrack’’ program after laparoscopic colorectal surgery is comparable in older patients as in younger patients", Surg Endosc, 27, pp.1225~1232 (2013)
- Giulio M, "Fast-track versus standard care in laparoscopic high anterior resection: a prospective randomized-controlled trial", Surg Laparosc Endosc Percutan Tech, 24(2), pp.118~121 (2014)
- Van Bree SH, "Faster recovery of gastrointestinal transit after laparoscopy and fasttrack care in patients undergoing colonic surgery", Gastroenterology, 141, pp.872~880 (2011)
- Beazley S, "Integrated care pathways in orthopaedics: a literature review", J Orthopaedic Nursing, 10, pp.171~178 (2006)
- Spanjersberg WR, "Fast track surgery versus conventional recovery strategies for colorectal surgery", Cochrane Database Syst Rev, 16(2), pp.CD007635~ (2011)
- Gouvas N, "Fast-track vs standard care in colorectal surgery: a meta-analysis update", Int J Colorectal Dis, 24, pp.1119~1131 (2009)
- Wennstrom B, "Patient symptoms after colonic surgery in the era of enhanced recovery–a long-term follow-up", J Clin Nurs, 19, pp.666~672 (2010)
- Norlyk A, "The extended arm of health professionals? Relatives’ experiences of patient’s recovery in a fast-track programme", J Adv Nurs, 69(8), pp.1737~1746 (2013)