Comparison of Post-Operative Outcome with and without Application of ERAS Protocols in Patients of Acute Appendicitis

Background: The application of ERAS allows for a multidisciplinary and multimodal approach to perioperative care which not only expedites recovery but maximizes patient outcomes. Objective: Comparison of post-operative outcome with and without application of ERAS protocols in patients of acute appendicitis. Study Design: Randomized controlled trial. Settings: Surgical Emergency, Allied Hospital, Faisalabad Pakistan. Duration: 01-05-2023 to 31-12-2023. Methods: 160 patients were included with non-probability consecutive sampling technique. All data was recorded in a predesigned proforma. Results: In our studies mean of Pain score in Group A was 2.45 (Sd-0.53) after 4 hrs.,2.25 (sd-0.43) after 08 hrs,1.66(sd-0.52) after 12 hrs,1.08 (sd-0.28) after 24 hrs. Mean of pain score in Group B was 3.42 (Sd-0.56) after 4 hrs., 3.03(sd-0.29) after 08 hrs., 2.77(sd-0.44) after 12 hrs., 2.20(sd-0.40) after 24 hrs. Mean of Activity score in Group A was 1.41 (Sd-0.58) after 4 hrs.,2.17(sd-0.59) after 08 hrs,2.75(sd-0.56) after 12 hrs,3.68 (sd-0.49) after 24 hrs. Mean of activity score in Group B was 0.08 (Sd-0.28) after 4 hrs., 0.86(sd-0.47) after 08 hrs., 1.62(sd-0.48) after 12 hrs., 2.25(sd-0.46) after 24 hrs. In Group A mean of rescue analgesia needed postoperatively is 0.17 (0.44) and in Group B, the mean is 2.22(sd-0.67). Conclusion: Patients who underwent appendicectomy with ERAS protocols had less pain postoperatively, were mobile and able to perform routine activity earlier, had less need of rescue analgesia postoperatively, were oral-free earlier, less incidence of surgical site infection and were discharged from the hospital earlier