72204 - Can preoperative information affect postoperative outcomes among patients with colorectal cancer who are cared for with an ERAS protocol
Klara Arvidsson, Anna-Carin NylanderAbstract
Introduction
Preoperative information is a requirement for healthcare and a prerequisite for the patient's participation. Patients have reported to feel more secure and confident when given adequate preoperative information. The evidence-based consensus protocol Enhanced Recovery After Surgery (ERAS) is included in the national care program for colorectal surgery in Sweden. The protocol recommends standardized preoperative information by a registered nurse about a week prior surgery.
Method
The purpose of this study is to examine if preoperative information given by a registered nurse at a pre-admission clinic can affect postoperative outcomes among patients with colorectal cancer who are cared for with an ERAS protocol. The method were a retrospective, descriptive and comparative study with quantitative approach.
Result
Patients who had participated in the pre-admission clinic had higher compliance to ERAS (p<0,001) and lower risk of suffering from infectious complications within 30 days (p<0,005). Patients who had underwent laparoscopic or robotic assisted surgery and patients who were converted to open surgery were more compliant to the ERAS protocol (p<0,001).
Discussion
Preoperative information given by a registered nurse at a pre-admission clinic can affect postoperative outcomes among patients with colorectal cancer. Preoperative information has also in qualitative studies enabled to make patients feel safer prior surgery. Although, a greater sample in this study is required because the results are not in line with previous studies regarding that compliance to the ERAS protocol can reduce length of stay and decrease various complications.