The purpose of this research study is to evaluate an Enhanced Recovery After Surgery (ERAS) protocol in children and young adults undergoing urologic reconstructive surgery. The investigators plan to collect data on speed of recovery (how quickly pain improves, length of time in the hospital, and the need for additional pain control) on patients who receive care under the ERAS protocol and compare it to historical controls.
The purpose of this project is to evaluate Enhanced Recovery After Surgery (ERAS) in the pediatric setting for participants undergoing intraabdominal urologic reconstruction procedures. ERAS practices are being implemented in the department independent of research and this project will allow the investigators to review these practices. Providers, participants, and family members will complete pre- and post- surgery questionnaires. These questionnaires are geared to collect demographic information about the participant and how the surgery affects their life situation. The providers will answer questions regarding their experience with ERAS. Evidence-based ERAS principles and procedures are compulsory components of this project. These will be documented in the medical record and are considered standard of care practice as part of perioperative patient care. Data collected from the medical record for each participant will aid in evaluating if adherence to the ERAS protocol is achieved.
Study Type
OBSERVATIONAL
Enrollment
85
Enhanced Recovery After Surgery (ERAS) protocol is a multi-disciplinary program that aims to standardize care processes around the pre-, intra-, and post-operative care setting. This group will prospectively receive care under a pre-defined protocol.
Recent historical controls will have received care under "usual care" that existed prior to implementation of an enhanced recovery protocol.
Children's Hospital Colorado
Aurora, Colorado, United States
Ann & Robert Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
Washington University School of Medicine
St Louis, Missouri, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Adherence to ERAS protocol
Adherence to ERAS protocol items with # of items achieved (out of 20)
Time frame: 3 years
Length of stay
Median primary inpatient hospital stay associated with surgery episode (# midnight)
Time frame: 3 years
Re-admissions within 30 days
Median number of re-admissions to any hospital within 30 days of surgery episode per patient
Time frame: 30 days
Re-operations within 90 days
Median number of unplanned re-operations within 90 days of surgery episode per patient
Time frame: 90 days
Number of visits to the emergency room within 90 day period
Median number of visits to any emergency room within 90 days of surgery episode per patient
Time frame: 90 days
Number of 30-day complications
Median number of 30-day complications by Clavien-Dindo classification per patient
Time frame: 3 years
Number of 90-day complications
Median number of 90-day complications by Clavien-Dindo classification per patient
Time frame: 3 years
Number of long-term complications within 1 year
Median number of long-term complications per patient
Time frame: 1 year
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Oklahoma University Health Science Center
Oklahoma City, Oklahoma, United States
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, United States
Children's Hospital of Richmond at Virginia Commonwealth University
Richmond, Virginia, United States
Daily IV morphine equivalents
Mean daily IV morphine equivalents (mg/kg) usage during first 3 days after surgery
Time frame: 3 days after surgery