Table 4.
Difference-in-Differences Risk Ratios for ERAS Patient Outcome Metrics After Program Implementation Among Colorectal Resection and Hip Fracture Repair Cohortsa
Metric | Difference-in-Differences Estimates, Rate Ratio (95% CI) | |||
---|---|---|---|---|
Colorectal Resection vs Comparator | P Value | Hip Fracture vs Comparator | P Value | |
Hospital length of stay, d | 0.92 (0.86–0.99) | .03 | 0.83 (0.77–0.91) | <.001 |
Hospital mortality | 0.17 (0.03–0.86) | .03 | 1.12 (0.37–3.41) | .84 |
Discharge to home | 1.01 (0.99–1.02) | .13 | 1.24 (1.06–1.44) | .007 |
30-d Readmission | 0.94 (0.74–1.20) | .65 | 0.96 (0.74–1.26) | .78 |
Postoperative complications | 0.68 (0.46–0.99) | .04 | 0.67 (0.45–0.99) | .05 |
Major complications | 0.28 (0.12–0.68) | .005 | 0.53 (0.15–1.84) | .32 |
Abbreviation: ERAS, Enhanced Recovery After Surgery.
A difference-in-differences risk ratio of 0.67 (postoperative complications; hip fracture) can be interpreted as a 33% lower rate of postoperative complications among patients undergoing hip fracture repair after ERAS program implementation compared with before ERAS implementation relative the orthopedics comparator cohort during the same intervals.