Table 3.
Postoperative and 30-day outcomes of pre-ERAS and ERAS patients
Variable |
Pre-ERAS (N = 121) |
ERAS (N = 368) |
P value |
---|---|---|---|
Total LOS, days | 4.0 ± 3.6 | 2.8 ± 3.3 | <0.0001 |
Total LOS ≤1 day | 9.9% | 45.7% | <0.0001 |
Total LOS ≤2 days | 28.9% | 67.4% | <0.0001 |
ICU LOS, hours | 68.4 ± 161.7 | 34.1 ± 49.2 | <0.0001 |
Discharge location | |||
Home | 79.3% | 90.2% | 0.002 |
Other | 16.5% | 9.2% | 0.03 |
Deceased | 4.1% | 0.5% | 0.004 |
30-day mortality | 5.0% | 0.8% | 0.003 |
30-day readmission | 14.0% | 11.1% | 0.39 |
Stroke | 0 | 1.6% | 0.16 |
TIA | 0 | 0 | 1 |
AV reintervention | 0.8% | 0 | 0.08 |
Surgical site infection | 0 | 0 | 1 |
Vascular complications | 16.5% | 13.6% | 0.42 |
New PPM | 26.4% | 24.2% | 0.67 |
Significant EKG changes | 11.6% | 20.7% | 0.03 |
Renal failure | 3.3% | 0.5% | 0.02 |
New dialysis | 3.3% | 0.3% | 0.004 |
Blood product transfusion | 21.5% | 11.4% | 0.006 |
Readmission to ICU | 0 | 1.9% | 0.13 |
Reoperation | |||
Bleeding | 0 | 0.3% | 0.57 |
Valve dysfunction | 0.8% | 0.5% | 0.73 |
Cardiac | 0% | 0.3% | 0.57 |
Other, noncardiac | 2.5% | 1.9% | 0.7 |
VTE | 1.7% | 0.5% | 0.24 |
Pleural effusion requiring drainage | 5.8% | 1.4% | 0.006 |
Cardiac arrest | 5.8% | 0.8% | <0.001 |
Anticoagulation event | 0.8% | 0.3% | 0.41 |
Tamponade | 0.8% | 0 | 0.08 |
GI event | 4.1% | 1.9% | 0.17 |
Multisystem failure | 0 | 0.3% | 0.57 |
Atrial fibrillation | 11.6% | 5.4% | 0.02 |
Aortic insufficiency | |||
None | 52.1% | 73.6% | <0.0001 |
Trivial/trace | 6.6% | 9.5% | 0.33 |
Mild | 9.1% | 5.7% | 0.19 |
Moderate/severe | 3.3% | 3.8% | 0.81 |
Data presented as percentage or mean ± standard deviation. Neurologic events, reintervention, and surgical site infections were tracked to postoperative day 30; otherwise, complications were tracked only during index admission.
AV indicates aortic valve; EKG, electrocardiogram; GI, gastrointestinal; ICU, intensive care unit; LOS, length of stay; PPM, permanent pacemaker; TIA, transient ischemic attack; VTE, venous thromboembolism.