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ERAS protocol has been shown to improve patient comfort and reduce the length of hospital stay. This study aimed to investigate the impact of implementing ERAS protocols on healthcare costs in patients undergoing a laparoscopic hysterectomy.
ERAS protocol has been shown to improve patient comfort and reduce the length of hospital stay in various kinds of surgical procedures. This study aimed to investigate whether ERAS protocol has an impact on healthcare costs in patients undergoing a laparoscopic hysterectomy. Patients scheduled for laparoscopic hysterectomy will be allocated to one of the study groups: ERAS group patients will receive ERAS protocol during the perioperative period; Conventional care groups will undergo standard abdominal hysterectomy without the implementation of ERAS protocol. The groups will be compared with respect to the length of hospital stay, rehospitalizations, and healthcare costs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERAS group | Active Comparator | Patients in this group will receive ERAS protocol preoperatively, perioperatively and postoperatively. |
|
| Control | No Intervention | This group of patients will not receive ERAS care and will undergo a standard laparoscopic hysterectomy. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced recovery after surge(ERAS) protocol | Other | The components of ERAS multidisciplinary pathway concerning preoperative, operative, and postoperative period are as follows:
Use of short-acting anesthetic agents Application of midthoracic, epidural anesthesia/analgesia Refraining from using drains Refraining from salt, and water overload Maintenance of normothermia Postoperative care: Application of midthoracic, epidural anesthesia/analgesia Prevention of nausea, and vomiting Refraining from salt, and water overload Earlier removal of catheters Initiation of oral intake at an early period Use of nonopioid oral analgesics/NSAIDs Early mobilization |
| Measure | Description | Time Frame |
|---|---|---|
| Healthcare costs | Hospital costs will be obtained from the accounting office of the hospital | Up to one month |
| Measure | Description | Time Frame |
|---|---|---|
| Length of stay | Length of hospital stay | Up to one month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aysu Akca, MD | Contact | +902124041500 | aysuakca4@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Aysu Akca, MD | Kanuni Sultan Suleyman Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Obstetrics and Gynecology, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital, | Istanbul | Please Enter the State Or Province | 34005 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D002985 | Clinical Protocols |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D016020 | Epidemiologic Study Characteristics |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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| D017530 | Health Care Quality, Access, and Evaluation |