What outcomes are important in the assessment of Enhanced Recovery After Surgery (ERAS) pathways?

摘要: The purpose of this narrative review is to provide a framework from which measure the outcomes Enhanced Recovery After Surgery (ERAS) programs. We define recovery perspective different stakeholders and time frames. There no single definition recovery. are overlapping phases particular interest (surgeons, anesthesiologists, nurses, patients their caregivers), primary outcome may vary depending on phase perspective. In earliest (from end surgery discharge postanesthesia care unit [PACU]), biologic physiologic emphasized. intermediate PACU hospital), symptoms related pain gastrointestinal function as well basic activities important. Studies ERAS pathways have reported clinical symptoms, including complications, hospital stay, mobilization, function, largely during hospitalization. Nevertheless, return normal functioning, process that occurs over weeks months (late phase). Outcomes reflecting functional status (e.g., physical activity, daily living) overall health quality life) important in phase. To date, few studies reporting effectiveness compared with conventional included or quality-of-life outcomes, there little information about after hospital. complex construct. Different at along trajectory. Measures for quantifying available. A consensus-based core set input multiple would facilitate research reporting.