The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Randomized clinical trial of multimodal optimization and standard perioperative surgical care
Abstract
Background: Multimodal optimization of surgical care has been associated with reduced hospital stay and improved physical function. The aim of this randomized trial was to compare multimodal optimization with standard care in patients undergoing colonic resection. Methods: Twenty-five patients requiring elective right or left hemicolectomy were randomized to receive a ten-point optimization programme (14 patients) or conventional care (11). The groups were similar in terms of age (64 versus 68 years), male : female sex ratio (6 : 8 versus 5 : 6) and Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) score (both 26). Outcome measures were recorded before operation and on postoperative days 1, 7 and 30. They included hand grip strength, lung spirometry, and pain and fatigue scores. Further outcome measures included time to achieve a predetermined mobilization target, time to resumption of normal diet, and length of stay. Results: Optimization was associated with maintained grip strength, earlier mobilization (46 versus 69 h; P = 0·043), and significantly lower pain and fatigue scores. Patients in the optimization group tolerated a regular hospital diet significantly earlier than controls (48 versus 76 h; P < 0·001). Optimization significantly reduced the median length of hospital stay (3 versus 7 days; P = 0·002). Conclusion: Optimization of surgical care significantly improved patients' physical and psychological function in the early postoperative period and facilitated early hospital discharge.
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Cites
Exercise training and nutritional supplementation for physical frailty in very elderly people
Fiatarone, M. A., O'Neill, E. F., Ryan, N. D., Clements, K. M., Solares, G. R., Nelson, M. E., Roberts, S. B., Kehayias, J. J., Lipsitz, L. A., & Evans, W. J. (1994) · New England Journal of Medicine · doi:10.1056/nejm199406233302501 · Cited by 2,857
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Multimodal strategies to improve surgical outcome
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Supplemental Perioperative Oxygen to Reduce the Incidence of Surgical-Wound Infection
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Management of patients in fast track surgery
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A Clinical Pathway to Accelerate Recovery After Colonic Resection
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Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme
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Cited by
Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., Francis, N., McNaught, C. E., MacFie, J., Liberman, A. S., Soop, M., et al. (2013) · World Journal of Surgery · doi:10.1007/s00268-012-1772-0 · Cited by 1,082
Self-citationGustafsson, U. O. (2011) · Archives of Surgery · doi:10.1001/archsurg.2010.309 · Cited by 936
Fernandez-Bustamante, A., Frendl, G., Sprung, J., Kor, D. J., Subramaniam, B., Martinez Ruiz, R., Lee, J.-W., Henderson, W. G., Moss, A., Mehdiratta, N., et al. (2017) · JAMA Surgery · doi:10.1001/jamasurg.2016.4065 · Cited by 653
Adamina, M., Kehlet, H., Tomlinson, G. A., Senagore, A. J., & Delaney, C. P. (2011) · Surgery · doi:10.1016/j.surg.2010.11.003 · Cited by 555
A protocol is not enough to implement an enhanced recovery programme for colorectal resection
Maessen, J., Dejong, C. H. C., Hausel, J., Nygren, J., Lassen, K., Andersen, J., Kessels, A. G. H., Revhaug, A., Kehlet, H., Ljungqvist, O., et al. (2007) · British Journal of Surgery · doi:10.1002/bjs.5468 · Cited by 533
Metadata
- Authors
- Anderson, A. D. G., McNaught, C. E., MacFie, J., Tring, I., Barker, P., & Mitchell, C. J.
- Venue
- British Journal of Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-11-03
- Volume
- 90
- Issue
- 12
- Pages
- 1497-1504
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2074325074
- Cited by
- 375
- References
- 28
- FWCI
- 11.60
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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