Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

One-year results from the first US-based enhanced recovery after cardiac surgery (ERAS Cardiac) program

Judson B. Williams, Gina McConnell, J. Erin Allender, Patricia Woltz, Kathy Kane, Peter K. Smith, Daniel T. Engelman, William T. Bradford

Journal of Thoracic and Cardiovascular Surgery · 2018

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Summary

This paper presents one-year outcomes from implementation of an Enhanced Recovery After Surgery (ERAS) protocol in a United States cardiac surgery programme—reported as the first such programme in the US to apply this systematic perioperative care approach. ERAS protocols combine multimodal interventions across preoperative optimisation, anaesthetic and surgical technique, and postoperative management to improve recovery trajectories. The study documents the feasibility and effectiveness of this structured approach in the cardiac surgery setting over a one-year follow-up period.

UK applicability

ERAS protocols have been established in UK cardiac centres for several years; this US-based report may offer comparative implementation insights and outcome benchmarks relevant to ongoing optimisation of UK cardiac surgery programmes, though healthcare system differences may limit direct applicability.

Key measures

As suggested by the title, likely measures include: postoperative morbidity/mortality, intensive care unit and hospital length of stay, readmission rates, functional status at one year, and compliance with ERAS protocol elements.

Outcomes reported

The study reported one-year clinical and functional outcomes from implementation of an Enhanced Recovery After Surgery (ERAS) protocol in a cardiac surgery programme. Measured variables likely included postoperative complications, length of stay, readmission rates, and patient-reported functional recovery.

Theme
Nutrition & health
Subject
Dietary patterns & chronic disease
Study type
Research
Study design
Prospective cohort or case series
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1016/j.jtcvs.2018.10.164
Catalogue ID
BFmokjo9ap-q8j3sk

Topic tags

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