Enhanced Recovery After Colorectal Surgery

University of Valencia

Status: Completed

Conditions: Fast Track; Enhanced Recovery

Treatments: Other: Multimodal rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT01148394

FT-1

Details and patient eligibility

About

Introduction: Multimodal rehabilitation (MMR), combines various elements in the management of the surgical patient which lead to a decrease in surgical stress and a more comfortable and faster postoperative recovery.

Objective: To assess the introduction of MMR in a specialized Colorectal Unit and compare the results with the traditional model assessing its´ efficacy as to recovery, and reduction of hospital stay and costs.

Full description

Materials y Methods: A prospective randomized trial was conducted which analyzed 119 patients who underwent elective colorectal surgery between 2009 and 2010. 58 patients were assigned to the traditional group and 61 patients to the MMR group. MMR included preoperative education, early feeding and mobilisation.

Enrollment: 119 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who underwent elective colorectal surgery between 2009 and 2010.
• Signed informed consent
• Live in Valencia metropolitan area

Exclusion criteria

• Emergency surgery
• No colonic resection
• Unable to continue follow-up
• Dependent on others for daily activities

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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119 participants in 2 patient groups

Traditional

No Intervention group

Description:

Involves traditional management of patients with preoperative mechanical bowel preparation, no preoperative education, nasogastric tube, delayed feeding and mobilisation, use of drains

Treatment:

Other: Multimodal rehabilitation

Multimodal rehabilitation

Active Comparator group

Description:

Involves preoperative patient education, no preoperative mechanical bowel preparation, no nasogastric tube, early oral feeding and mobilisation, physiotherapy

Treatment:

Other: Multimodal rehabilitation