NCT05962320

Effect of Modified ERAS Protocol on Clinical Outcomes in Pediatric Patients With Appendectomy

Effect of Enhanced Recovery After Surgery Protocol Based Care on Patient Outcomes in Children With Appendicitis: a Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 82 (actual)
• Sponsor: Karadeniz Technical University · Academic / Other
• Sex: All
• Age: 6 Years – 17 Years
• Healthy volunteers: Not accepted

Summary

Acute appendicitis is the most common abdominal emergency with more than 15 million cases reported worldwide. Although appendectomy is considered a safe surgical procedure, the incidence of complications is up to 10%. The Enhanced Recovery After Surgery (ERAS) has developed guidelines to improve postoperative patient outcomes. The protocol, which consists of more than 20 interventions in the preoperative, intraoperative and postoperative periods, shows that early discharge can be possible with multidisciplinary care given to surgical patients without risking patient safety.

Detailed description

Appendicitis is a common clinical condition and often requires emergency treatment. Although appendectomy is a safe surgical procedure, there is a risk of complications. Pain is common, especially in the postoperative period, and the lack of care management leads to delayed mobilization and oral intake, delayed recovery and prolonged length of hospital stay. However, pain, nausea-vomiting, thirst, fear and stress could be managed with perioperative care. In addition, it is reported that the care provided based on the ERAS protocol shortens the length of hospital stay. In this respect, the aim of this study was to investigate the effect of ERAS protocol-based care on the length of hospital stay of children who were planned to undergo appendectomy. Postoperative pain level, stress and fear level, time to first mobilization, flatulence, defecation and oral intake, nausea, thirst were the secondary outcomes of this study.

Conditions

• ERAS
• Surgery
• Appendicitis

Interventions

Type	Name	Description
OTHER	Education and counselling	Education and counselling of patients and their parents
OTHER	Avoiding the use of nasogastric catheters, drains and urinary catheters	Avoiding the use of nasogastric catheters, drains and urinary catheters or/and removing them as early as possible
OTHER	Stimulation of intestinal motility in the postoperative period	Stimulation of intestinal motility in the postoperative period
OTHER	Initiation of oral intake in the early postoperative period	Initiation of oral intake in the early postoperative period
OTHER	Early removal of the patient by reducing postoperative IV fluid infusion	Early removal of the patient by reducing postoperative IV fluid infusion
OTHER	Initiation of early mobilization of the patient in the postoperative period	Initiation of early mobilization of the patient in the postoperative period
OTHER	Reducing opioid use and ensuring pain management	Reducing opioid use and ensuring pain management
OTHER	Implement nausea and vomiting prophylaxis	Implement nausea and vomiting prophylaxis
OTHER	Management of thirsty	Management of thirsty
OTHER	Management of fear and stress	Use of recommended non-pharmacological interventions in the management of fear and stress

Timeline

• Start date: 2023-10-01
• Primary completion: 2024-05-01
• Completion: 2024-05-31
• First posted: 2023-07-27
• Last updated: 2025-10-03

Locations

1 site across 1 country: Turkey (Türkiye)