Abstract：
INTRODUCTION:The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery. MATERIAL AND METHODS:A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3) who had colonic or rectal surgery. The same MMRP protocol was applied in all cases. Compliance to the protocol, tolerance to the diet and walking have been analysed. The percentages of early hospital discharges have also been compared. RESULTS:Compliance gradually improved, reaching statistical significance between P1 and P3. Starting the diet on day 1 post-surgery was 52% vs 86% (p=0.0001) and the removal of drips was 21% vs 40% (p=0.005). This difference remained during days 2 and 3. Tolerance to the diet on day 1 (P1: 34% vs. P3: 66%; p=0.0001) and walking on day 2 (P1: 41% vs. P3: 68%; p=0.0002) were also better in the third period. No differences in morbidity were found between the three periods. The percentage of hospital discharges on day 3 P1: 1% vs. P3: 15%; p=0.0003), day 4 (P1: 12% vs. P3: 32%; p=0.001) and day 5 (P1: 30% vs. P3: 50%; p=0.002) was higher in the third period. CONCLUSIONS:The compliance to the protocol and the results of applying the MMRP improved significantly with the greater experience of the professionals involved.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Salvans S,Gil-Egea MJ,Martínez-Serrano MA,Bordoy E,Pérez S,Pascual M,Alonso S,Parés D,Courtier R,Pera M,Grande Ldoi
10.1016/j.ciresp.2010.04.006subject
Has Abstractpub_date
2010-08-01 00:00:00pages
85-91issue
2eissn
0009-739Xissn
1578-147Xpii
S0009-739X(10)00218-6journal_volume
88pub_type
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