PENGARUH INTERVENSI ENCHANCE RECOVERY AFTER SURGERY PADA POSTOPERATIVE TERHADAP LENGTH OF STAY: A SISTEMATIK REVIEW
##plugins.pubIds.doi.readerDisplayName##
https://doi.org/10.24843/coping.2021.v09.i01.p14
Abstrak
Background: Health problems arising in the post-operation must be addressed immediately to speed up the recovery process and minimize surgical complications thereby reducing the length of stay in hospital. Enhanced Recovery After Surgery (ERAS) interventions have been introduced to perioperative to reduce hospitalization days. Objective: this study aims to determine the effect of postoperative ERAS interventions on Length of Stay (LOS). Data Source: This systematic review was carried out in several international data bases published from 2010 to 2019 on Pubmed, Proquest, Google Scholar, and Science Direct which began searching on 01 to 31 July 2019. Method: a systematic review using the PRISMA checklist, then the research questions were arranged using PICO in the search for articles so that 11 articles met the inclusion criteria and then analyzed using CASP. Results: There were 7 out of 11 articles that had reviewed ERAS protocol interventions in the postoperative phase reducing the length of stay after the intervention was given and there were differences between the treatment group and the conventional group. While 4 articles were given early mobilization interventions which were part of ERAS in the postoperative phase there were 2 articles which after given the intervention also reduced the length of stay and the remaining 2 articles there was no difference in length of stay. However, the articles that have been reviewed are not known which items in the postoperative phase ERAS protocol cause a reduction in length of stay so that they become recommendations for research by looking at the effect of each item on the postoperative phase ERAS protocol. Conclusion: ERAS intervention in the postoperative phase reduces the length of stay.
Keywords: laparotomy, abdominal surgery, colorectal surgery, ERAS, early mobilization, length of stay.
##plugins.generic.usageStats.downloads##
##plugins.generic.usageStats.noStats##
Referensi
Ahmed, A., & Elzohry, A. A. M. (2018). Enhanced Recovery After Surgery : A Better Protocol for Better Outcomes. Sryahwa Publication, 1(1), 1–7.
Almeida, E. P. M. De, Almeida, J. P. De, Landoni, G., Galas, F. R. B. G., Fukushima, J. T., Fominskiy, E., … Hajjar, L. A. (2017). Early mobilization programme improves functional capacity after major abdominal cancer surgery : a randomized controlled trial. British Journal of Anaesthesia, 0(0), 1–8. https://doi.org/10.1093/bja/aex250
Barrow, E., Anderson, I. D., Varley, S., Pichel, A. C., Peden, C. J., Saunders, D. I., & Murray, D. (2013). Current UK practice in emergency laparotomy. General Surgery, 95, 599–603. https://doi.org/10.1308/003588413X13629960048433
Carmicahel, J. C., Keller, D. S., Baldini, G., Bordeianou, L., Weiss, M. D. E., Lee, M. D. L., … Steele, S. R. (2017). Clinical Practice Guidelines for Enhanced Recovery. Disease of the Colon & Rectum, 60(8), 761–784. https://doi.org/10.1097/DCR.0000000000000883
Carney, M. J., Weissler, J. M., Fox, J. P., Tecce, M. G., & John, P. (2017). Trends in open abdominal surgery in the United States—Observations from 9,950,759 discharges using the 2009–2013 national inpatient sample (NIS) datasets. The American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2017.01.001
CASP. (2018a). Critical Appraisal Skills Programme (CASP). CASP Checklist a Randomised Controlled Trial, (2018).
CASP. (2018b). Critical Appraisal Skills Programme (CASP). CASP Checklist Cohort Study, (2018).
CASP. (2018c). Critical Appraisal Skills Programme (CASP) Checklist Case Control Study, (2018).
Cohen, J. F., Korevaar, D. A., Altman, D. G., Bruns, D. E., Gatsonis, C. A., Hooft, L., … Bossuyt, P. M. M. (2016). STARD 2015 guidelines for reporting diagnostic accuracy studies : explanation and elaboration. BMJ Open, 6(11), 1–17. https://doi.org/10.1136/bmjopen-2016-012799
Darmawan, A. A., & Rihiantoro, T. (2017). PENGETAHUAN, SIKAP DAN PERILAKU MOBILISASI DINI PASIEN POST OPERASI LAPARATOMI. Jurnal Keperawatan, 8, 110–117.
Depkes, R. (2011). Riset kesehatan dasar. Jakarta: Departemen Kesehatan RI.
Depkes, R. (2013). Riset Kesehatan Dasar. Jakarta: Departemen Kesehatan RI.
Haines, K. J., Skinner, E. H., Berney, S., Austin, T., Post, H., & Investigators, S. (2013). Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery : an observational cohort study. Chartered Society of Physiotherapy., 99, 119–125. https://doi.org/10.1016/j.physio.2012.05.013
Lee, T., Kang, M. D. S., Kim, M. D. D., Hong, S., Heo, M. D. S. C., & Park, M. D. K. J. (2011). Comparison of Early Mobilization and Diet Rehabilitation Program With Conventional Care After Laparoscopic Colon Surgery : A Prospective. DISEASES OF THE COLON &RECTUM, 54(1), 21–28. https://doi.org/10.1007/DCR.0b013e3181fcdb3e
Leeden, M. Van Der, Huijsmans, R., Geleijn, E., & Klerk, E. S. M. D. L. (2015). Early enforced mobilisation following surgery for gastrointestinal cancer : feasibility and outcomes. Physiotherapy, 1–8. https://doi.org/10.1016/j.physio.2015.03.3722
Miller, M. J., Weech-Maldonado, R., Outman, R. C., Ray, M. N., Gary, L. C., Chen, L., … Saag, K. G. (2016). Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use. Patient Education and Counseling, 99(11), 1837–1844. https://doi.org/10.1016/j.pec.2016.06.013
Miller, T. E., Thacker, J. K., White, W. D., Mantyh, C., Migaly, J., Jin, J., … Frcp, C. (2014). Reduced Length of Hospital Stay in Colorectal Surgery after Implementation of an Enhanced Recovery Protocol. International Anesthesia Research Society, 118(5), 1052–1061. https://doi.org/10.1213/ANE.0000000000000206
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097
Olle, L., Tonia, F. Y., & Demartines, N. (2017). The History of Enhanced Recovery After Surgery and the ERAS Society 1 2. Journal Of Lararoendoscopic & Advanced Surgical Techniques, 27(9), 860–862. https://doi.org/10.1089/lap.2017.0350
Sarin, A., Litonius, E. S., Naidu, R., Yost, C. S., Varma, M. G., & Chen, L. (2016). Successful implementation of an Enhanced Recovery After Surgery program shortens length of stay and improves postoperative pain , and bowel and bladder function after colorectal surgery. BMC Anesthesiology, 1–10. https://doi.org/10.1186/s12871-016-0223-0
Silva, Y. R., Li, S. K., & Rickard, M. J. F. X. (2012). Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery ? Physiotherapy, 1–7. https://doi.org/10.1016/j.physio.2012.09.006
Sjamsuhidarat, R., Karnadihardja, W., Prasetyono, T. O. H., & Rudiman, R. (2010). Buku Ajar Ilmu Bedah Edisi 3. Jakarta: EGC.
Teeuwen, P. H. E., Bleichrodt, R. P., Jong, P. J. M. de, Goor, H. van, & Bremers, A. J. A. (2011). Enchanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery. DISEASES OF THE COLON & RECTUM, 54, 833–839. https://doi.org/10.1007/DCR.0b013e318216067d
Teeuwen, P. H. E., Bleichrodt, R. P., Strik, C., & Groenewoud, J. J. M. (2010). Enhanced Recovery After Surgery ( ERAS ) Versus Conventional Postoperative Care in Colorectal Surgery. J Gastrointest Surg, 14, 88–95. https://doi.org/10.1007/s11605-009-1037-x
Tengberg, L. T., Cihoric, M., Foss, N. B., Bay-Nielsen, M., Gögenur, I., Henriksen, R., … Nielsen, L. B. J. (2017). Complications after emergency laparotomy beyond the immediate postoperative period – a retrospective, observational cohort study of 1139 patients. Anaesthesia, 72(3), 309–316. https://doi.org/10.1111/anae.13721
Thiele, R. H., Rea, K. M., Turrentine, F. E., Friel, C. M., Hassinger, T. E., Goudreau, B. J., … Mcmurry, T. L. (2015). Standardization of Care : Impact of an Enhanced Recovery Protocol on Length of Stay , Complications , and Direct Costs after Colorectal Surgery. Journal of the American College of Surgeons, 220(4), 430–443. https://doi.org/10.1016/j.jamcollsurg.2014.12.042
Wijk, L., Franzen, K., Ljungqvist, O., & Nilsson, K. (2014). Implementing a structured Enhanced Recovery After Surgery ( ERAS ) protocol reduces length of stay after abdominal hysterectomy. ACTA Obstetricia et Gynecologica, 93, 749–756. https://doi.org/10.1111/aogs.12423
Zeng, W. G., Liu, M. J., Zhou, Z. X., & Wang, Z. J. (2017). Enhanced recovery programme following laparoscopic colorectal resection for elderly patients. ANZJSurg.Com, (January 2010). https://doi.org/10.1111/ans.14074
Almeida, E. P. M. De, Almeida, J. P. De, Landoni, G., Galas, F. R. B. G., Fukushima, J. T., Fominskiy, E., … Hajjar, L. A. (2017). Early mobilization programme improves functional capacity after major abdominal cancer surgery : a randomized controlled trial. British Journal of Anaesthesia, 0(0), 1–8. https://doi.org/10.1093/bja/aex250
Barrow, E., Anderson, I. D., Varley, S., Pichel, A. C., Peden, C. J., Saunders, D. I., & Murray, D. (2013). Current UK practice in emergency laparotomy. General Surgery, 95, 599–603. https://doi.org/10.1308/003588413X13629960048433
Carmicahel, J. C., Keller, D. S., Baldini, G., Bordeianou, L., Weiss, M. D. E., Lee, M. D. L., … Steele, S. R. (2017). Clinical Practice Guidelines for Enhanced Recovery. Disease of the Colon & Rectum, 60(8), 761–784. https://doi.org/10.1097/DCR.0000000000000883
Carney, M. J., Weissler, J. M., Fox, J. P., Tecce, M. G., & John, P. (2017). Trends in open abdominal surgery in the United States—Observations from 9,950,759 discharges using the 2009–2013 national inpatient sample (NIS) datasets. The American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2017.01.001
CASP. (2018a). Critical Appraisal Skills Programme (CASP). CASP Checklist a Randomised Controlled Trial, (2018).
CASP. (2018b). Critical Appraisal Skills Programme (CASP). CASP Checklist Cohort Study, (2018).
CASP. (2018c). Critical Appraisal Skills Programme (CASP) Checklist Case Control Study, (2018).
Cohen, J. F., Korevaar, D. A., Altman, D. G., Bruns, D. E., Gatsonis, C. A., Hooft, L., … Bossuyt, P. M. M. (2016). STARD 2015 guidelines for reporting diagnostic accuracy studies : explanation and elaboration. BMJ Open, 6(11), 1–17. https://doi.org/10.1136/bmjopen-2016-012799
Darmawan, A. A., & Rihiantoro, T. (2017). PENGETAHUAN, SIKAP DAN PERILAKU MOBILISASI DINI PASIEN POST OPERASI LAPARATOMI. Jurnal Keperawatan, 8, 110–117.
Depkes, R. (2011). Riset kesehatan dasar. Jakarta: Departemen Kesehatan RI.
Depkes, R. (2013). Riset Kesehatan Dasar. Jakarta: Departemen Kesehatan RI.
Haines, K. J., Skinner, E. H., Berney, S., Austin, T., Post, H., & Investigators, S. (2013). Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery : an observational cohort study. Chartered Society of Physiotherapy., 99, 119–125. https://doi.org/10.1016/j.physio.2012.05.013
Lee, T., Kang, M. D. S., Kim, M. D. D., Hong, S., Heo, M. D. S. C., & Park, M. D. K. J. (2011). Comparison of Early Mobilization and Diet Rehabilitation Program With Conventional Care After Laparoscopic Colon Surgery : A Prospective. DISEASES OF THE COLON &RECTUM, 54(1), 21–28. https://doi.org/10.1007/DCR.0b013e3181fcdb3e
Leeden, M. Van Der, Huijsmans, R., Geleijn, E., & Klerk, E. S. M. D. L. (2015). Early enforced mobilisation following surgery for gastrointestinal cancer : feasibility and outcomes. Physiotherapy, 1–8. https://doi.org/10.1016/j.physio.2015.03.3722
Miller, M. J., Weech-Maldonado, R., Outman, R. C., Ray, M. N., Gary, L. C., Chen, L., … Saag, K. G. (2016). Evaluating the effectiveness of a patient storytelling DVD intervention to encourage physician-patient communication about nonsteroidal anti-inflammatory drug (NSAID) use. Patient Education and Counseling, 99(11), 1837–1844. https://doi.org/10.1016/j.pec.2016.06.013
Miller, T. E., Thacker, J. K., White, W. D., Mantyh, C., Migaly, J., Jin, J., … Frcp, C. (2014). Reduced Length of Hospital Stay in Colorectal Surgery after Implementation of an Enhanced Recovery Protocol. International Anesthesia Research Society, 118(5), 1052–1061. https://doi.org/10.1213/ANE.0000000000000206
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097
Olle, L., Tonia, F. Y., & Demartines, N. (2017). The History of Enhanced Recovery After Surgery and the ERAS Society 1 2. Journal Of Lararoendoscopic & Advanced Surgical Techniques, 27(9), 860–862. https://doi.org/10.1089/lap.2017.0350
Sarin, A., Litonius, E. S., Naidu, R., Yost, C. S., Varma, M. G., & Chen, L. (2016). Successful implementation of an Enhanced Recovery After Surgery program shortens length of stay and improves postoperative pain , and bowel and bladder function after colorectal surgery. BMC Anesthesiology, 1–10. https://doi.org/10.1186/s12871-016-0223-0
Silva, Y. R., Li, S. K., & Rickard, M. J. F. X. (2012). Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery ? Physiotherapy, 1–7. https://doi.org/10.1016/j.physio.2012.09.006
Sjamsuhidarat, R., Karnadihardja, W., Prasetyono, T. O. H., & Rudiman, R. (2010). Buku Ajar Ilmu Bedah Edisi 3. Jakarta: EGC.
Teeuwen, P. H. E., Bleichrodt, R. P., Jong, P. J. M. de, Goor, H. van, & Bremers, A. J. A. (2011). Enchanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery. DISEASES OF THE COLON & RECTUM, 54, 833–839. https://doi.org/10.1007/DCR.0b013e318216067d
Teeuwen, P. H. E., Bleichrodt, R. P., Strik, C., & Groenewoud, J. J. M. (2010). Enhanced Recovery After Surgery ( ERAS ) Versus Conventional Postoperative Care in Colorectal Surgery. J Gastrointest Surg, 14, 88–95. https://doi.org/10.1007/s11605-009-1037-x
Tengberg, L. T., Cihoric, M., Foss, N. B., Bay-Nielsen, M., Gögenur, I., Henriksen, R., … Nielsen, L. B. J. (2017). Complications after emergency laparotomy beyond the immediate postoperative period – a retrospective, observational cohort study of 1139 patients. Anaesthesia, 72(3), 309–316. https://doi.org/10.1111/anae.13721
Thiele, R. H., Rea, K. M., Turrentine, F. E., Friel, C. M., Hassinger, T. E., Goudreau, B. J., … Mcmurry, T. L. (2015). Standardization of Care : Impact of an Enhanced Recovery Protocol on Length of Stay , Complications , and Direct Costs after Colorectal Surgery. Journal of the American College of Surgeons, 220(4), 430–443. https://doi.org/10.1016/j.jamcollsurg.2014.12.042
Wijk, L., Franzen, K., Ljungqvist, O., & Nilsson, K. (2014). Implementing a structured Enhanced Recovery After Surgery ( ERAS ) protocol reduces length of stay after abdominal hysterectomy. ACTA Obstetricia et Gynecologica, 93, 749–756. https://doi.org/10.1111/aogs.12423
Zeng, W. G., Liu, M. J., Zhou, Z. X., & Wang, Z. J. (2017). Enhanced recovery programme following laparoscopic colorectal resection for elderly patients. ANZJSurg.Com, (January 2010). https://doi.org/10.1111/ans.14074
Diterbitkan
2021-02-28
##submission.howToCite##
JAATA, Jikrun.
PENGARUH INTERVENSI ENCHANCE RECOVERY AFTER SURGERY PADA POSTOPERATIVE TERHADAP LENGTH OF STAY: A SISTEMATIK REVIEW.
Coping: Community of Publishing in Nursing, [S.l.], v. 9, n. 1, p. 107-118, feb. 2021.
ISSN 2715-1980.
Tersedia pada: <https://ojs.unud.ac.id/index.php/coping/article/view/71026>. Tanggal Akses: 14 oct. 2025
doi: https://doi.org/10.24843/coping.2021.v09.i01.p14.
Terbitan
Bagian
Articles
