Preliminary Survey in Preparation for the Implementation of ERAS at Dr Soetomo Hospital

NCT05465499 | Completed

• 1 other identifier: 0815/LOE/301.4.2/III/2022
• Study Type: observational
• Target: 207
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to analyze the readiness of the team that will support the ERAS application at Regional General Academic Hospital Dr Soetomo.

Conditions

ERAS

Keywords

ERAS; Intraoperative care; Perioperative care; Preoperative care; Surgery

Outcome Measures

Primary Outcomes (1)

• Level of understanding (using questionnaire)

  This outcome is reported by a score on a scale. The minimum value is one, and the maximum value is five. Higher scores mean better outcomes. Scale title: 1. Strongly don't understand 2. Don't understand 3. Neutral 4. Understand 5. Strongly understand

  1 month

Study Arms (3)

Patient

Patient baseline data were taken from the examination at the anesthesiology outpatient clinic. (N=41)

Procedure: ERAS

Doctor

Consists of specialist and resident anesthesiology, orthopaedic surgery and traumatology, obstetrics and gynaecology, urology. (N=110)

Healthcare worker

Consists of nutritionists, pharmacists, surgical nurses, anesthesiologists, and recovery room nurses.(N=56)

Interventions

ERAS PROCEDURE

This study is a cross-sectional observational study by distributing questionnaires regarding the readiness to implement ERAS at Dr Soetomo General Hospital to the subjects, so there is no treatment whatsoever on the subjects.

Patient

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients who come to the anesthesiology polyclinic to prepare for SC surgery, simple urology, and simple orthopaedics.

You may qualify if:

• Patients with elective cesarean, urology, and simple orthopaedic surgery plans
• Patient with PS ASA 1-2

You may not qualify if:

• Patients with communication disorders / mental disorders
• Patients with outpatient surgery plans

Sponsors & Collaborators

• Dr. Soetomo General Hospital: lead

Study Sites (1)

Dr Soetomo General Hospital

Surabaya, East Java, 60286, Indonesia

Location

Related Publications (16)

• Pache B, Hübner M, Martin D, Addor V, Ljungqvist O, Demartines N, et al. Requirements for a successful Enhanced Recovery After Surgery (ERAS) program: a multicenter international survey among ERAS nurses. Eur Surg - Acta Chir Austriaca 2021;53:246-50. https://doi.org/10.1007/s10353-021-00698-9.

  BACKGROUND

• Pedziwiatr M, Kisialeuski M, Wierdak M, Stanek M, Natkaniec M, Matlok M, Major P, Malczak P, Budzynski A. Early implementation of Enhanced Recovery After Surgery (ERAS(R)) protocol - Compliance improves outcomes: A prospective cohort study. Int J Surg. 2015 Sep;21:75-81. doi: 10.1016/j.ijsu.2015.06.087. Epub 2015 Jul 29.

  PMID: 26231994 BACKGROUND

• Feldheiser A, Aziz O, Baldini G, Cox BP, Fearon KC, Feldman LS, Gan TJ, Kennedy RH, Ljungqvist O, Lobo DN, Miller T, Radtke FF, Ruiz Garces T, Schricker T, Scott MJ, Thacker JK, Ytrebo LM, Carli F. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 2016 Mar;60(3):289-334. doi: 10.1111/aas.12651. Epub 2015 Oct 30.

  PMID: 26514824 BACKGROUND

• Geltzeiler CB, Rotramel A, Wilson C, Deng L, Whiteford MH, Frankhouse J. Prospective study of colorectal enhanced recovery after surgery in a community hospital. JAMA Surg. 2014 Sep;149(9):955-61. doi: 10.1001/jamasurg.2014.675.

  PMID: 25054315 BACKGROUND

• Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: Time to change practice? Can Urol Assoc J. 2011 Oct;5(5):342-8. doi: 10.5489/cuaj.11002.

  PMID: 22031616 BACKGROUND

• Abeles A, Kwasnicki RM, Darzi A. Enhanced recovery after surgery: Current research insights and future direction. World J Gastrointest Surg. 2017 Feb 27;9(2):37-45. doi: 10.4240/wjgs.v9.i2.37.

  PMID: 28289508 BACKGROUND

• Springer JE, Doumouras AG, Lethbridge S, Forbes S, Eskicioglu C. A Provincial Assessment of the Barriers and Utilization of Enhanced Recovery After Colorectal Surgery. J Surg Res. 2019 Mar;235:521-528. doi: 10.1016/j.jss.2018.10.047. Epub 2018 Nov 26.

  PMID: 30691838 BACKGROUND

• Wang D, Liu Z, Zhou J, Yang J, Chen X, Chang C, Liu C, Li K, Hu J. Barriers to implementation of enhanced recovery after surgery (ERAS) by a multidisciplinary team in China: a multicentre qualitative study. BMJ Open. 2022 Mar 14;12(3):e053687. doi: 10.1136/bmjopen-2021-053687.

  PMID: 35288383 BACKGROUND

• Polle SW, Wind J, Fuhring JW, Hofland J, Gouma DJ, Bemelman WA. Implementation of a fast-track perioperative care program: what are the difficulties? Dig Surg. 2007;24(6):441-9. doi: 10.1159/000108327. Epub 2007 Sep 13.

  PMID: 17851238 BACKGROUND

• Ananda P, Semedi BP, Waloejo CS, Utariani A. Opioid-Sparring and Multimodal Analgesia as Parts of Enhanced Recovery After Surgery (ERAS) Applied In The Ksatria Airlangga Floating Hospital. Indones J Anesthesiol Reanim 2021;3:17. https://doi.org/10.20473/ijar.v3i12021.17-21.

  BACKGROUND

• Gramlich LM, Sheppard CE, Wasylak T, Gilmour LE, Ljungqvist O, Basualdo-Hammond C, Nelson G. Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system. Implement Sci. 2017 May 19;12(1):67. doi: 10.1186/s13012-017-0597-5.

  PMID: 28526041 BACKGROUND

• Zychowicz A, Pisarska M, Laskawska A, Czyz M, Witowski J, Kisielewski M, Kulawik J, Budzynski A, Pedziwiatr M. Patients' opinions on enhanced recovery after surgery perioperative care principles: a questionnaire study. Wideochir Inne Tech Maloinwazyjne. 2019 Jan;14(1):27-37. doi: 10.5114/wiitm.2018.77261. Epub 2018 Jul 24.

  PMID: 30766626 BACKGROUND

• Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, Rockall TA, Young-Fadok TM, Hill AG, Soop M, de Boer HD, Urman RD, Chang GJ, Fichera A, Kessler H, Grass F, Whang EE, Fawcett WJ, Carli F, Lobo DN, Rollins KE, Balfour A, Baldini G, Riedel B, Ljungqvist O. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS(R)) Society Recommendations: 2018. World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.

  PMID: 30426190 BACKGROUND

• Feng J, Li K, Xu R, Feng H, Han Q, Ye H, Li F. Association between compliance with enhanced recovery after surgery (ERAS) protocols and postoperative outcome in patients with primary liver cancer undergoing hepatic resection. J Cancer Res Clin Oncol. 2022 Nov;148(11):3047-3059. doi: 10.1007/s00432-021-03891-1. Epub 2022 Jan 25.

  PMID: 35075571 BACKGROUND

• Rodriguez-Laiz GP, Melgar-Requena P, Alcazar-Lopez CF, Franco-Campello M, Villodre-Tudela C, Pascual-Bartolome S, Bellot-Garcia P, Rodriguez-Soler M, Miralles-Macia CF, Mas-Serrano P, Navarro-Martinez JA, Martinez-Adsuar FJ, Gomez-Salinas L, Jaime-Sanchez FA, Perdiguero-Gil M, Diaz-Cuevas M, Palazon-Azorin JM, Such-Ronda J, Lluis-Casajuana F, Ramia-Angel JM. Fast-Track Liver Transplantation: Six-year Prospective Cohort Study with an Enhanced Recovery After Surgery (ERAS) Protocol. World J Surg. 2021 May;45(5):1262-1271. doi: 10.1007/s00268-021-05963-2. Epub 2021 Feb 23.

  PMID: 33620540 BACKGROUND

• Gillis C, Gill M, Marlett N, MacKean G, GermAnn K, Gilmour L, Nelson G, Wasylak T, Nguyen S, Araujo E, Zelinsky S, Gramlich L. Patients as partners in Enhanced Recovery After Surgery: A qualitative patient-led study. BMJ Open. 2017 Jun 24;7(6):e017002. doi: 10.1136/bmjopen-2017-017002.

  PMID: 28647727 BACKGROUND

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Anesthesiology and Reanimation Installation ; Principal Investigator

Study Record Dates

• First Submitted: July 12, 2022
• First Posted: July 19, 2022
• Study Start: March 23, 2022
• Primary Completion: April 14, 2022
• Study Completion: April 14, 2022
• Last Updated: July 19, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

ID (1)