ERAS implementation in an urban patient population undergoing gynecologic surgery

Background: Enhanced recovery after surgery (ERAS) protocols improve outcomes. We investigated ERAS implementation in a population with comorbid conditions, inadequate insurance, and barriers to healthcare undergoing gynecologic surgery. Objective: To investigate ERAS implementation in publicly insured/ uninsured patients undergoing gynecologic surgery on hospital length of stay (LOS), 30-day hospital readmission rates, opioid administration, and pain scores.Study design: Data were obtained pre-and post-ERAS imple-mentation. Patients undergoing gynecologic surgery with private insurance, public insurance, and uninsured were included (N = 589). LOS, readmission <30 days, opioid administration, and pain scores were assessed.Results: Implementation of ERAS led to shorter LOS 1.75 vs. 1.49 days (p = 0.008). Average pain scores decreased from 3.07 pre -ERAS vs. 2.47 post-ERAS (p = <0.001). Opioid use decreased for ERAS patients (67.22 vs. 33.18, p = <0.001). Hospital readmission rates were unchanged from 8.2% pre-ERAS vs. 10.3% post-ERAS (p = 0.392). Conclusions: ERAS decreased pain scores and opioid use without increasing LOS or readmissions.(c) 2022 Published by Elsevier Ltd.

Automated summary

Implementation of ERAS in patients with comorbid conditions, inadequate insurance, and barriers to healthcare can improve postoperative recovery, reducing pain scores and opioid use.