Table 3.
Comparison of postoperative data
| Pre-ERAS (n = 169) | ERAS (n = 114) | p value | |
|---|---|---|---|
| Mean length of stay, days (range) | 20 (7–79) | 13 (3–70) | < 0.001 |
| Mean ICU length of stay, days (range) | 6 (1–32) | 5 (1–24) | 0.042 |
| Complications, n (%) | |||
| Overall | 115 (68.0) | 76 (66.7) | 0.808 |
| Surgical complication | 80 (47.3) | 55 (48.2) | 0.881 |
| Medical complication | 77 (45.6) | 32 (28.1) | 0.003 |
| One complication per patient | 50 (29.6) | 55 (48.2) | |
| Two complications per patient | 26 (15.4) | 19 (16.7) | |
| Three or more complications per patient | 39 (23.1) | 2 (1.8) | |
| Type of surgical complication, n (%) | |||
| Total flap loss | 10 (5.9) | 14 (12.3) | |
| Partial flap loss | 10 (5.9) | 9 (7.9) | |
| Surgical site hematoma | 14 (8.3) | 4 (3.5) | |
| Surgical site infection | 23 (13.6) | 5 (4.4) | |
| Fistula | 15 (8.9) | 9 (7.9) | |
| Tissue necrosis | 26 (15.4) | 4 (3.5) | |
| Other | 17 (10.1) | 14 (12.3) | |
| Type of medical complication, n (%) | |||
| Pneumonia | 20 (11.8) | 6 (5.3) | |
| Sepsis | 1 (0.6) | 1 (0.9) | |
| Delirium | 33 (19.5) | 14 (12.3) | |
| Arrhythmia | 5 (3.0) | 2 (1.8) | |
| Atelectasis/pulmonary edema | 11 (6.5) | 0 (0) | |
| Pulmonary embolism | 2 (1.2) | 1 (0.9) | |
| Prolonged mechanical ventilation | 11 (6.5) | 4 (3.5) | |
| Hypotension/hemodynamic instability | 0 (0) | 2 (1.8) | |
| Other | 20 (11.8) | 7 (6.1) | |
| Re-operation within 30 days, n (%) | |||
| Number of patients | 64 (37.9) | 35 (30.7) | 0.266 |
| Re-admission to ICU/prolonged stay in ICU, n (%) | 32 (18.9) | 43 (37.7) | < 0.001 |
| Died within 30 days, n (%) | 3 (1.8) | 5 (4.4) | 0.350 |
| Died within 6 months, n (%) | 21 (12.4) | 14 (12.3) | 1.000 |
SD, standard deviation; ICU, intensive care unit