PhD Scientific Days 2026

Surgical Medicine

Effect of High Compliance to Enhanced Recovery After Surgery Protocol on Postoperative Outcomes

Előadó neve

Dr. Szilágyi, Eszter Szabina

Neptune code

MUGBSO

Előadó munkahelye

Department of Surgery, Transplantation and Gastroenterology

Előadó telefonszáma

06309168227

Előadó e-mail címe

eszterszilagyi9926@gmail.com

Az előadás címe

Effect of High Compliance to Enhanced Recovery After Surgery Protocol on Postoperative Outcomes

Szerző(k) neve és munkahelye

Szilágyi Eszter Szabina¹, Bánky Balázs¹, Szijártó Attila¹, Fülöp András¹

1: Department of Surgery, Transplantation and Gastroenterology

Bemutatás módja

Szóbeli

Szekció

Surgical Medicine

Language of the presentation

Hungarian

Preferred session

Surgical Medicine

Összefoglaló szövege

Introduction:
Major abdominal surgery is associated with significant physiological stress, which remains a key contributor to postoperative morbidity. Enhanced Recovery After Surgery (ERAS) programs improve outcomes in colorectal surgery, yet their implementation in resource-limited settings remains challenging. Although a compliance threshold of 70–75% has been proposed, evidence beyond this level is limited.
Aims:
Our study aimed to evaluate achievable ERAS compliance, its association with clinical outcomes, and feasibility of implementation in a financially constrained healthcare system.
Methods:
A prospective single-center cohort study was conducted between 2022 and 2024, including patients undergoing elective colorectal surgery. ERAS compliance was assessed with 20 perioperative elements and expressed as a percentage. Patients were stratified into six groups based on compliance rate (<75% and in 5% increments above this threshold). Outcomes included length of stay (LOS), intensive care unit (ICU) utilization, postoperative complications, readmission, and mortality.
Results:
A total of 338 patients were analysed. The mean age was 63.4 years, and 37.9% were women. The mean compliance was 89.3%, with 70% of patients exceeding 85%. The meadian LOS was 6 days (IQR 5-7), while readmission within 30 days was 5.3%. ICU admission occured in 23.7%, where patients spent a median of 1 day (IQR 1-2.5). Overall morbidity occured in 28.1%, with minor and major morbidity in 21.0% and 9.2%, respectively. Early (1-7 days) complications occured in 16.9%, while late (8-30 days) complications occured in 15.4%. Higher compliance was associated with significantly reduced LOS (p<0.001), ICU admission and duration (p<0.001), and early postoperative complications (p<0.001). Overall morbidity showed a weak negative correlation with compliance (R= −0.12, p=0.03). Each 5% increase in compliance resulted in a 3% shorter LOS and 22% lower odds of early complications.
Conclusion:
High ERAS compliance is achievable in resource-limited settings through structured audit systems. Clinical outcomes improve progressively beyond the previously accepted 75% threshold, supporting the goal of near-complete adherence.
Funding: No external funding was received for this study.

University

Semmelweis University

Supervisor

Fülöp András

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

phd.section.field

in doctoral studies before complex exam (PhD)

Kind

Szabad

Status

elfogadva

Accepted presentation method

szóbeli

Előadás fájl jóváhagyás

jóváhagyta

Előadó

9736

Start

17:00

End

17:10