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- W2995940620 abstract "Introduction: Open aortic aneurysm repair is traditionally associated with an extended hospital stay. However, our fast-track protocols after abdominal aortic operation have resulted in a decrease in hospitalization after major surgical procedures, as well as in mortality and morbidity. The aim of this study is to examine the feasibility of reducing post-operative stay by implementing a fast-track and goal-directed clinical pathway for elective open aortic surgery. Methods: 138 patients who were undergone abdominal aortic surgery (75 for endovascular aortic stent graft (SG) and 63 for open surgery (OS)) between Feb 2011 and Jan 2018 were treated with our fast-track protocol, which consist early postoperative oral intake and mobilization starting on the day of the operation. The average age was 78.5 ± 7.9 years (SG group) and 71.0 ± 8.2 years (OS group) (p < .01). e GFR (ml / min / 1.73 m2) SG group 52.5 ± 17.4 vs. OS group 60.0 ± 23.5, D dimer (μg / ml) SG group 7.5 ± 7.0 vs. OS group 8.4 ± 8.0, HbA1C (%) SG group 6.0 ± 0.5 vs. OS group 5.9 ± 0.7. Results: The hospital stay was 1 1.4 ± 3.9 (SG group) vs. 13.7 ± 4.6 days (OS group) in 2014, but this protocol brought a significant reduction to 7.5 ± 1.3 days(OS group) in 2017. Importantly, mobility was safely achieved in the OS group; 0% 30-day mortality and 6.2% overall morbidity (3.1% pulmonary and 3.1% renal complications). No additional treatments were needed for the OS group in contrast to 6 cases (8.0%) in the SG group. Conclusion: Our fast-track protocol after abdominal aortic operation can safely be applied to patients undergoing conventional open abdominal grafting, which reduces the length of stay in ICU and total hospitalization. To optimize this model of cardiac recovery, the most important element is to facilitate the process of pre and post-operative care. Disclosure: Nothing to disclose" @default.
- W2995940620 created "2019-12-26" @default.
- W2995940620 creator A5070776080 @default.
- W2995940620 date "2019-12-01" @default.
- W2995940620 modified "2023-10-17" @default.
- W2995940620 title "Fast-track Protocol After Open Abdominal Aortic Surgery Enables Short Hospital Stay Same as EVAR" @default.
- W2995940620 doi "https://doi.org/10.1016/j.ejvs.2019.09.379" @default.
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