Enhanced recovery after surgery (ERAS) for vascular surgery: an evidence map and scoping review

Eric A Apaydin; Karen Woo; Julia Rollison; Sangita Baxi; Aneesa Motala; Susanne Hempel

doi:10.1186/s13643-023-02324-z

Enhanced recovery after surgery (ERAS) for vascular surgery: an evidence map and scoping review

Syst Rev. 2023 Sep 14;12(1):162. doi: 10.1186/s13643-023-02324-z.

Authors

Eric A Apaydin^{1

2

3}, Karen Woo⁴, Julia Rollison⁵, Sangita Baxi⁶, Aneesa Motala^{7

6}, Susanne Hempel^{7

6}

Affiliations

¹ Southern California Evidence Review Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. eapaydin@usc.edu.
² RAND Health Care, RAND Corporation, Santa Monica, CA, USA. eapaydin@usc.edu.
³ Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. eapaydin@usc.edu.
⁴ Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
⁵ RAND Health Care, RAND Corporation, Arlington, VA, USA.
⁶ RAND Health Care, RAND Corporation, Santa Monica, CA, USA.
⁷ Southern California Evidence Review Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Abstract

Background: Enhanced recovery after surgery (ERAS) interventions aim to improve patient outcomes. Vascular surgery patients have unique requirements and it is unclear which ERAS interventions are supported by an evidence base.

Methods: We conducted a scoping review to identify ERAS randomized controlled trials (RCTs) published in the biomedical or nursing literature. We assessed interventions for applicability to vascular surgery and differentiated interventions given at preadmission, preoperative, intraoperative, and postoperative surgery stages. We documented the research in an evidence map.

Results: We identified 76 relevant RCTs. Interventions were mostly administered in preoperative (23 RCTs; 30%) or intraoperative surgery stages (35 RCTs; 46%). The majority of studies reported mortality outcomes (44 RCTs; 58%), but hospital (27 RCTs; 35%) and intensive care unit (9 RCTs; 12%) length of stay outcomes were less consistently described.

Conclusion: The ERAS evidence base is growing but contains gaps. Research on preadmission interventions and more consistent reporting of key outcomes is needed.

Keywords: Enhanced recovery; Evidence map; Surgery; Vascular.

Publication types

Review
Letter
Research Support, Non-U.S. Gov't

MeSH terms

Enhanced Recovery After Surgery*
Hospitals
Humans
Intensive Care Units
Vascular Surgical Procedures