期刊
FRONTIERS IN SURGERY
卷 7, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fsurg.2020.608950
关键词
enhanced recovery after surgery; Smartband; minimal invasive surgery; colorectal surgery; quality of recovery
类别
资金
- Ministry of Science and Technology [MOST 109-2314-B-037-035, MOST 109-2314-B-037-040, MOST 109-2314-B-037-046-MY3]
- Ministry of Health and Welfare - Health and Welfare Surcharge on tobacco products [MOHW107-TDU-B-212-123006, MOHW107-TDU-B-212-114026B, MOHW108-TDU-B-212-133006, MOHW109-TDU-B-212-134026, MOHW109-TDU-B-212-114006]
- Kaohsiung Municipal Ta-Tung Hospital [KMTTH104-023, KMTTH106-007]
- Kaohsiung Medical University Hospital [KMUH109-9R32, KMU-H1099R33, KMUH109-9R34, KMUH109-9M30, KMUH109-9M31, KMUH109-9M32, KMUH109-9M33, KMUH-DK109003, KMUH-DK109005similar to3, KMUHS10903, KMUHSA10903]
- Center for Cancer Research [KMU-TC108A04-2]
- Center for Liquid Biopsy and Cohort Research Center Grant, Kaohsiung Medical University [KMU-TC109B05]
- Kaohsiung Medical University
- Grant of Taiwan Precision Medicine Initiative, Academia Sinica, Taiwan, ROC
The study found that the use of smartbands after minimally invasive colorectal surgery did not significantly increase compliance with early mobilization or reduce the occurrence of postoperative complications, but optimized quality of recovery, allowing patients to return to their preoperative status earlier.
Background: Enhanced recovery after surgery (ERAS) is valuable in perioperative care for its ability to improve short-term surgical outcomes and facilitate patient recuperation after major surgery. Early postoperative mobilization is a vital component of the integrated care pathway and is a factor strongly associated with successful outcomes. However, early mobilization still has various definitions and lacks specific strategies. Methods: Patients who underwent minimally invasive surgery for colorectal cancer followed our perioperative ERAS program, including mobilization from the first postoperative day. After perioperative care skills were improved in our well-established program, compliance, inpatient surgical outcomes, and complications associated with adding smartband use were evaluated and compared with the outcomes for standard protocol. Quality of recovery was evaluated using patient-rated QoR-40 questionnaires the day before surgery, on postoperative days 1 and 3, and on the day of discharge. Results: Smartband use after minimally invasive colorectal surgery failed to increase compliance with early mobilization or reduce the occurrence of postoperative complications significantly compared with standard ERAS protocol. However, when smartbands were utilized, quality of recovery was optimized and patients returned to their preoperative status earlier, at postoperative day 3. The length of hospital stay, as defined by discharge criteria, and hospital stay of patients without complications was reduced by 1.1 and 0.9 days, respectively (P = 0.009 and 0.049, respectively). Conclusions: Smartbands enable enhanced communication between patients and surgical teams and strengthen self-management in patients undergoing minimally invasive colorectal resection surgery. Accelerated recovery to preoperative functional status can be facilitated by integrating smartbands into the process of early mobilization during ERAS.
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