The first published report to demonstrate a potential benefit of ERAS for patients undergoing urgent or emergency cardiac surgery is now out in print in the January issue of the Journal of Cardiovascular Anesthesia.
“This article reflects a retrospective study conducted at Hartford Hospital that utilized an institutional quality improvement database for the Society of Thoracic Surgery,” stated IAA anesthesiologist Trevor S. Sutton, MD, MBA. “Our team studied 1012 patients who underwent urgent or emergency coronary artery bypass graft surgery at Hartford Hospital between 2016 and 2020. We examined 30-day clinical outcomes, and outcomes related to early mobilization prior to and following implementation of an enhanced recovery after cardiac surgery protocol.”
The results of this study were astounding and have far-reaching implications for future ERAS protocol implementation. The team found that following enhanced recovery after surgery (ERAS) implementation, the length of stay for patients undergoing urgent or emergency coronary artery bypass graft surgery was reduced by approximately 2 days – without any adverse effects on short-term or 30-day safety or quality metrics.
Dr. Sutton is the senior author and principal investigator and worked closely with all co-authors. Study coauthors and IAA collaborators include leadership of the Heart and Vascular Institute (Dr. McKay and Dr. Hashim) and members of HHC Research Administration (Jeff Mather, MS), and members of the IAA Research Department (Tamas Takata, MS, and Jack Eschert).
Please join us in congratulating Dr. Sutton, and his team on a job well done!
Open, view & download the full protocol study .pdf here > Enhanced Recovery After Surgery Is Associated With Reduced Hospital Length of Stay after Urgent or Emergency Isolated Coronary Artery Bypass Surgery at an Urban, Tertiary Care Teaching Hospital: An Interrupted Time Series Analysis With Propensity Score Matching