Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2024; 12(22): 4965-4972
Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.4965
Safety and feasibility of enhanced recovery after surgery-based management model for ambulatory pediatric surgical procedures
Gui-Quan Fan, Xin-Dan Zhang, Yong-Ke He, Xiao-Gang Lu, Ji-Yong Zhong, Zong-Yang Pang, Xi-Yang Gan
Gui-Quan Fan, Xin-Dan Zhang, Yong-Ke He, Xiao-Gang Lu, Ji-Yong Zhong, Zong-Yang Pang, Xi-Yang Gan, Pediatric Surgery, The First People’s Hospital of Liangshan Yi Autonomous Prefecture, Xichang 615000, Sichuan Province, China
Co-first authors: Gui-Quan Fan and Xin-Dan Zhang.
Author contributions: Fan GQ and Zhang XD contributed equally to this work and are co-first authors; Fan GQ and Zhang XD designed the study, collected and analyzed data, provided guidance, and wrote the manuscript; Fan GQ, Zhang XD, He YK, Lu XG, Zhong JY, Pang ZY, and Gan XY participated in the conception of the study and data collection; All authors read and approved the final version.
Supported by Liangshan Prefecture Science Research, Development, Promotion and Application Project Application Form, No. 17yyjs0011.
Institutional review board statement: This study was approved by the Ethic Committee of The First People’s Hospital of Liangshan Yi Autonomous Prefecture (Approval No. 2024-003).
Informed consent statement: Patients were not required to give informed consent for the study because the analysis used anonymized clinical data, which were obtained after each patient or guardian consented to treatment through written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gui-Quan Fan, MM, Doctor, Pediatric Surgery, The First People’s Hospital of Liangshan Yi Autonomous Prefecture, No. 6 Xiashuncheng Street, Xichang 615000, Sichuan Province, China. lsyzzzzdyrmyy123@163.com
Received: April 8, 2024
Revised: May 16, 2024
Accepted: June 5, 2024
Published online: August 6, 2024
Processing time: 84 Days and 19.4 Hours
Abstract
BACKGROUND

There is still some room for optimizing ambulatory pediatric surgical procedures, and the preoperative and postoperative management quality for pediatric patients needs to be improved.

AIM

To discuss the safety and feasibility of the enhanced recovery after surgery (ERAS)-based management model for ambulatory pediatric surgical procedures.

METHODS

We selected 320 pediatric patients undergoing ambulatory surgery from June 2023 to January 2024 at The First People’s Hospital of Liangshan Yi Autonomous Prefecture. Of these, 220 received ERAS-based management (research group) and 100 received routine management (control group). General information, postoperative ambulation activities, surgical outcomes (operation time, postoperative gastrointestinal ventilation time, and hospital stay), postoperative pain visual analogue scale, postoperative complications (incision infection, abdominal distension, fever, nausea, and vomiting), and family satisfaction were compared.

RESULTS

The general information of the research group (sex, age, disease type, single parent, family history, etc.) was comparable to that of the control group (P > 0.05), but the rate of postoperative (2 h, 4 h, and 6 h after surgery) ambulation activities was statistically higher (P < 0.01), and operation time, postoperative gastrointestinal ventilation time, and hospital stay were markedly shorter (P < 0.05). The research group had lower visual analogue scale scores (P < 0.01) at 12 h and 24 h after surgery and a lower incidence of total postoperative complications than the control group (P = 0.001). The research group had higher family satisfaction than the control group (P = 0.007).

CONCLUSION

The ERAS-based management model was safe and feasible in ambulatory pediatric surgical procedures and worthy of clinical promotion.

Keywords: Ambulatory pediatric surgery; Ambulatory surgery; Enhanced recovery after surgery; Safety; Feasibility

Core Tip: Ambulatory surgical procedures have the advantages of high efficiency, high-quality services, low medical costs, and short hospital stays while providing sufficient guarantees in terms of medical quality, safety, and rapidity. However, there is some room for improvement. This study proposed a management model based on the concept of enhanced recovery after surgery, which was safe and feasible in ambulatory pediatric surgeries, accelerating postoperative ambulation, relieving postoperative pain, reducing the incidence of postoperative complications, and improving family satisfaction. This model provided a better management option for ambulatory pediatric surgical procedures.