Table 3. Comparison of compliance in the individual items of ERAS protocol.
| Total | I [0, 60%) | II [60%, 70%) | III [70%, 80%) | IV [80%, 100%] | P value | |
|---|---|---|---|---|---|---|
| Patients (n) | 254 | 66 | 63 | 53 | 72 | |
| Education and counselling | 254 (100%) | 66 (100%) | 63 (100%) | 53 (100%) | 72 (100%) | |
| Nutritional assessment and support | 119 (46.9%) | 20 (30.3%) | 26 (41.3%) | 26 (49.1%) | 47 (65.3%) | < 0.001 |
| Cardiopulmonary function evaluation | 214 (84.3%) | 39 (59.1%) | 54 (85.7%) | 49 (92.5%) | 72 (100%) | < 0.001 |
| No bowel preparation | 35 (13.8%) | 4 (6.1%) | 4 (6.3%) | 7 (13.2%) | 20 (27.8%) | < 0.001 |
| Forbidden to drink and eat | 207 (81.5%) | 40 (60.6%) | 52 (82.5%) | 46 (86.8%) | 69 (95.8%) | < 0.001 |
| Carbohydrate drinks | 154 (60.5%) | 15 (22.7%) | 29 (46.0%) | 42 (79.2%) | 68 (94.4%) | < 0.001 |
| Antibiotics prophylaxis | 254 (100%) | 66 (100%) | 63 (100%) | 53 (100%) | 72 (100%) | |
| No premedication | 231 (90.9%) | 53 (80.3%) | 59 (93.7%) | 51 (96.2%) | 68 (94.4%) | 0.013* |
| Anesthesia protocols | 150 (59.1%) | 23 (34.8%) | 35 (55.6%) | 32 (60.4%) | 60 (83.3%) | < 0.001 |
| Laparoscopic surgery | 198 (78.0%) | 43 (65.2%) | 48 (76.2%) | 42 (79.2%) | 65 (90.3%) | 0.005 |
| Depth of anesthesia | 229 (90.2%) | 52 (100%) | 58 (100%) | 51 (100%) | 68 (100%) | 0.004 |
| Ventilation management | 225 (88.6%) | 46 (69.7%) | 59 (93.7%) | 50 (94.3%) | 70 (97.2%) | < 0.001 |
| Muscle relaxant | 109 (42.9%) | 14 (21.2%) | 22 (34.9%) | 28 (52.8%) | 45 (62.5%) | < 0.001 |
| Active warming | 200 (78.7%) | 43 (65.2%) | 44 (69.8%) | 45 (84.9%) | 68 (94.4%) | < 0.001 |
| Perioperative fluid management | 126 (49.6%) | 15 (22.7%) | 28 (44.4%) | 33 (62.3%) | 50 (69.4%) | < 0.001 |
| Control blood glucose | 210 (82.7%) | 41 (62.1%) | 53 (84.1%) | 47 (88.7%) | 69 (95.8%) | < 0.001 |
| PONV prophylaxis | 223 (87.8%) | 46 (69.7%) | 57 (90.5%) | 49 (92.5%) | 71 (98.6%) | < 0.001 |
| Thrombo-prophylaxis | 218 (85.8%) | 45 (68.2%) | 55 (87.3%) | 49 (92.5%) | 69 (95.8%) | < 0.001 |
| No nasogastric tube | 237 (93.3%) | 60 (90.9%) | 58 (92.1%) | 48 (90.6%) | 71 (98.6%) | 0.127* |
| Prevention of stress ulcer | 233 (91.7%) | 58 (87.9%) | 57 (90.5%) | 48 (90.6%) | 70 (97.2%) | 0.170* |
| Multimodal analgesic approaches | 132 (52.0%) | 15 (22.7%) | 25 (39.7%) | 33 (62.3%) | 59 (81.9%) | < 0.001 |
| Incision management | 226 (89.0%) | 49 (74.2%) | 56 (88.9%) | 50 (94.3%) | 71 (98.6%) | < 0.001 |
| Early oral intake | 113 (44.5%) | 16 (24.2%) | 17 (27.0%) | 25 (47.2%) | 55 (76.4%) | < 0.001 |
| Early mobilisation | 119 (46.9%) | 12 (18.2%) | 19 (30.2%) | 28 (52.8%) | 60 (83.3%) | < 0.001 |
| Remove drainage tubes | 92 (36.2%) | 6 (9.1%) | 10 (15.9%) | 23 (43.4%) | 53 (73.6%) | < 0.001 |
| Remove urinary catheter | 41 (16.1%) | 1 (1.5%) | 3 (4.8%) | 12 (22.6%) | 25 (34.7%) | < 0.001 |
*Fisher exact test, all other statistics: Chi-Square test.