Functional recovery is considered the most important target: a survey of dedicated professionals

Perioperative Medicine

Kristoffer Lassen³  Stephen J Wigmore⁴  Arthur Revhaug³  Nicolas Demartines²  Dileep N Lobo⁶  Kenneth C Fearon⁴  Olle Ljungqvist⁵  Cornelius HC Dejong¹  Maarten von Meyenfeldt¹  Eirik K Aahlin³ 

[1] Department of Surgery, University Hospital Maastricht and NUTRIM School for Nutrition, Toxicology and Metabolism,, Maastricht, The Netherlands;Department of Visceral Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland;Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway;Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK;Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden;Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre National Institute for Health Research, Biomedical Research Unit, Nottingham University Hospitals, Queen's Medical Centre, Nottingham, UK

关键词: Fast track;    ERAS;    Perioperative care;    Recovery;   

Others  :  1132062
DOI  :  10.1186/2047-0525-3-5

 received in 2014-04-16, accepted in 2014-07-18,  发布年份 2014

【 摘 要 】

Background

The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals.

Methods

A questionnaire with eight postoperative recovery targets and 13 perioperative care items was mailed to participants of the first international Enhanced Recovery After Surgery (ERAS) congress and to authors of papers with a clear relevance to ERAS in abdominal surgery. The responders were divided into categories according to profession and region.

Results

The recovery targets ‘To be completely free of nausea’, ‘To be independently mobile’ and ‘To be able to eat and drink as soon as possible’ received the highest score irrespective of the responder's profession or region of origin. Equally, the care items ‘Optimizing fluid balance’, ‘Preoperative counselling’ and ‘Promoting early and scheduled mobilisation’ received the highest score across all groups.

Conclusions

Functional recovery, as in tolerance of food without nausea and regained mobility, was considered the most important target of recovery. There was a consistent uniformity in the way international dedicated professionals scored the relative importance of recovery targets and care items. The relative rating of the perioperative care items was not dependent on the strength of evidence supporting the items.

【 授权许可】

   
2014 Aahlin et al.; licensee BioMed Central Ltd.

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