Work detail

Increasing Efficiency of Inpatient Care in the Czech Republic: ERAS Protocol Adherence in Colorectal Surgery

Author: Bc. Barbora Hrušková
Year: 2020 - summer
Leaders: PhDr. Lucie Bryndová
Work type: Bachelors
Language: English
Pages: 62
Awards and prizes:
Abstract: Standardization of care is necessary to achieve more efficient inpatient care. Enhanced recovery after surgery (ERAS) protocols have proven to accelerate the recovery of patients, decrease lengths of stay and reduce complications. However, close
adherence to the protocol is necessary to achieve the beneficial outcomes. The purpose of this study is to prove that higher adherence to ERAS protocol increases its
efficiency by achieving lower expenses and higher productivity due to the decreased
patient length of stay. De-identified dataset of patients who underwent colorectal
surgery between April 2016 and March 2020 at Motol University Hospital was used
for our analysis. Ordinary least squares (OLS) models were created to investigate
the effect of adherence to individual items of the protocol as well as the different
levels of total adherence on the length of stay. We proved that seven items of ERAS
protocol are independent predictors of the length of stay. Moreover, we found an
inverse relationship between the ERAS protocol adherence and the length of stay.
Finally, after assigning monetary values to our results we could conclude that higher
adherence to ERAS protocols provides more efficient inpatient care and contributes
to cost savings in the Czech Republic.


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