CR Preadmission
Colorectal Process Measures
Preadmission
Compliance Audit
Preadmission
Compliance Measures to Capture
Patient and Family Education.
(Verbal and Written at Preop Visit)
ACS-ISCR (p.38)
("optional")
2019 POWERS (P = 0.02)
98% compliance
ERAS 2018 (p.661)
ASCRS-SAGES (p.762-3)
Ostomy Education
If expected ostomy
Seen by enterostomal therapist
Educated in ostomy care and prevention of dehydration
(dehydration is leading cause of readmissions)
ASCRS-SAGES 2017 (p.763-4)
If Mechanical Bowel Prep
Oral Antibiotics also Given
ACS-ISCR (p.40)
ERAS 2018 (p.667)
ASCRS-SAGES 2017 (p.763-4)
Preadmission
Data Points to Capture
Mechanical Bowel Prep
ACS-ISCR (p.39)
ERAS 2018 (p.667-9)
ASCR-SAGES 2017 (p.763-4)
Preadmission
Data to Consider
Smoking and Alcohol Cessation.
(4 weeks)
2019 POWERS (P = 0.02)
71% compliance
ERAS 2018 (p.661-3)
Prehabilitation
Aerobic and Resistance Training
ERAS 2018 (p.663)
ASCRS-SAGES 2017 (p.764-5)
Medical Optimization.
(Diabetes, Hypertension, Cardiac, Respiratory Etc.).
Nutritional Screening
&
Nutritional Supplementation
ERAS 2018 (p.663-4)
Anemia Optimization
ERAS 2018 (p.665-6)
References
POWER Study Group 2019: real data
Association Between Use of Enhanced Recovery After Surgery Protocol and Postoperative Complications in Colorectal Surgery. The Postoperative Outcomes within Enhanced Recovery After Surgery Protocol (POWER) Study
Javier Ripolles-Melchor et at, JAMA Surg 2019;154(8):725-736
