Swiss Validation of the Enhanced Recovery After Surgery (ERAS) Database

• DOI: 10.1007/s00268-020-05926-z
• Publication Date: 2021-01-23T22:02:33Z
• Authors: Basile Pache; David Martin; Valérie Addor; Nicolas Demartines; Martin Hübner
• Keywords: Vascular surgery

Abstract Background Enhanced recovery after surgery (ERAS) pathways have considerably improved postoperative outcomes and are in use for various types of surgery. The prospective audit system (EIAS) could be a powerful tool large‐scale outcome research but its database has not been validated yet. Methods Swiss ERAS centers were invited to contribute the validation chapter colorectal A monitoring team performed on‐site visits by standardized checklist. Validation criteria (I) coverage (No. operated patients within protocol; target threshold validation: ≥ 80%), (II) missing data (8 predefined variables; ≤ 10%), (III) accuracy (2 variables, 80%). These assessed comparing EIAS entries with medical charts random sample per center (range 15–20). Results Out 18 centers, 15 agreed onsite 13 granted access final dataset. was available only 7 varied between 76 100%. Overall rate 5.7% concerned mainly variables “urinary catheter removal” (16.4%) “mobilization on day 1” (16%). Accuracy length hospital stay complications overall 84.6%. Overall, 5 over failed process one or several criteria. Conclusion most centers. Potential patient selection remain sources bias non‐validated Therefore, simplified other appears mandatory before