Outcomes of Fast-Track Program after Colorectal Cancer Surgery - Comparison with Conventional Method.
10.5388/aon.2014.14.4.249
- Author:
Boyoul KIM
1
;
Seung Bum RYOO
;
Kyu Joo PARK
;
Sung Hee PARK
Author Information
1. Department of Nursing, Seoul National University Hospital, Seoul, Korea. goddess11@naver.com
- Publication Type:Original Article
- Keywords:
Colorectal Surgery;
Fast-Track
- MeSH:
Analgesics, Non-Narcotic;
Colorectal Neoplasms*;
Colorectal Surgery;
Eating;
Hospitalization;
Humans;
Narcotics;
Retrospective Studies
- From:Asian Oncology Nursing
2014;14(4):249-253
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To assess the effectiveness of a care map for a fast-track discharge program after colorectal cancer surgery. METHODS: Ninety-nine patients who underwent colorectal surgery were retrospectively analyzed: 45 patients who were placed in a conventional program (January 3 to March 13, 2013) and 44 patients who were placed in a fast-track program using the care map (July 26 to September 24, 2014). Patients in the fast-track program started eating on postoperative day 1, while those in the conventional program started eating on post-operative day 2. complications, and pain were compared between the two groups. RESULTS: A slight decrease in the average duration of hospitalization was observed for the fast-track group (5.31+/-0.98 days) compared to the conventional group (5.38+/-2.80 days), although this difference was not statistically significant. All other outcomes for the fast-track group were scored as 0. Furthermore, there was no statistically significant differences between pain, narcotics administration, and non-narcotic analgesics (aside from patient-controlled analgesia). CONCLUSION: The care map for the colorectal surgery fast-track program was effective and program validation and supplementation of the active standardization early recovery program should be performed using multi-disciplinary research.
