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Background <p>Multimodal enhanced recovery after surgery (ERAS) concepts are becoming increasingly more important to reduce perioperative morbidity and mortality and improve postoperative rehabilitation.</p> Objective <p>This prospective feasibility study investigated the implementation of ERAS concepts in open aortic surgery with respect to adherence to the protocol (compliance) and length of hospital stay.</p> Material and methods <p>Based on the recommendations of the ERAS Society and analogous to the ERAS® Interactive Audit System (EIAS) certification in other surgical areas, 20&#xa0;patients were prospectively included and managed according to the ERAS concept (ERAS group). The retrospective control group consisted of 50&#xa0;patients (pre-ERAS group). Compliance with the defined protocol parameters was coded binarily and evaluated as a&#xa0;percentage per group.</p> Results <p>In the ERAS group, overall compliance was 91% compared to 42% in the pre-ERAS group. There was no significant difference in perioperative complications. The 30-day mortality rate was 0% in both groups. The median length of hospital stay in the ERAS group was 5 days (3–12 days) compared to 8 days (6–43 days) in the pre-ERAS group (<i>p</i> &lt; 0.001).</p> Conclusion <p>The results of this study suggest that the ERAS concept is feasible and also practical in vascular surgery and warrant the permanent implementation in open aortic surgery. A standardized ERAS treatment could contribute to a reduction of the risk profile of open aortic surgery in the future.</p>

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Einführung von ERAS® in die offene Aortenchirurgie

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月24日

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  • Andreas L. H. Gerken,
  • Helena Mauer,
  • Grietje Beck,
  • Jörg Krebs,
  • Christel Weiß,
  • Klaus Amendt,
  • Martin Sigl,
  • Konstantinos Stellos,
  • Lillian Schmoll,
  • Katarina Pecher,
  • Christoph Reißfelder,
  • Alice M. Conrad,
  • Kay Schwenke

摘要

Background

Multimodal enhanced recovery after surgery (ERAS) concepts are becoming increasingly more important to reduce perioperative morbidity and mortality and improve postoperative rehabilitation.

Objective

This prospective feasibility study investigated the implementation of ERAS concepts in open aortic surgery with respect to adherence to the protocol (compliance) and length of hospital stay.

Material and methods

Based on the recommendations of the ERAS Society and analogous to the ERAS® Interactive Audit System (EIAS) certification in other surgical areas, 20 patients were prospectively included and managed according to the ERAS concept (ERAS group). The retrospective control group consisted of 50 patients (pre-ERAS group). Compliance with the defined protocol parameters was coded binarily and evaluated as a percentage per group.

Results

In the ERAS group, overall compliance was 91% compared to 42% in the pre-ERAS group. There was no significant difference in perioperative complications. The 30-day mortality rate was 0% in both groups. The median length of hospital stay in the ERAS group was 5 days (3–12 days) compared to 8 days (6–43 days) in the pre-ERAS group (p < 0.001).

Conclusion

The results of this study suggest that the ERAS concept is feasible and also practical in vascular surgery and warrant the permanent implementation in open aortic surgery. A standardized ERAS treatment could contribute to a reduction of the risk profile of open aortic surgery in the future.