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Published: 2026-03-09
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DOI: https://doi.org/10.52852/tcncyh.v199i2.4714
Issue
Vol. 199 No. 2 (2026)
Section
Các bài báo
How to Cite
Hà, N. T. T., Duy, N. Q., Thủy, T. T. N., Bích, L. T. N., Châu, N. H. M., & Nguyên, N. T. (2026). Adherence to eras protocol in patients undergoing laparoscopic colorectal resection at Gia Dinh People’s Hospital, 2024-2025. Journal of Medical Research, 199(2), 294-302. https://doi.org/10.52852/tcncyh.v199i2.4714

Adherence to eras protocol in patients undergoing laparoscopic colorectal resection at Gia Dinh People's Hospital, 2024-2025

Nguyen Thi Thu Ha, Ngo Quang Duy, Tran Thi Nguyen Thuy, Lam Thi Ngoc Bich, Nguyen Hoai Minh Chau, Nguyen Thi Nguyen

Main Article Content

Abstract

This study aimed to determine the adherence rate and identify factors associated with preoperative and postoperative elements of the Enhanced Recovery After Surgery (ERAS) protocol in colorectal cancer surgery at Gia Dinh People's Hospital (2024 - 2025). A cross-sectional descriptive design was employed, collecting data from 100 patients with colorectal cancer who underwent laparoscopic colorectal resection under the ERAS protocol between March 2025 and June 2025. ERAS adherence, length of hospital stay (LOS), and complication rates (Clavien-Dindo grade ≥ II) were assessed via medical records. The overall rate of good ERAS adherence was 86.0% (n = 86). The component with the lowest adherence rate was early postoperative mobilization (86.0%). Two factors were identified as significantly reducing ERAS adherence: ASA physical status class III (adjusted OR = 0.03; p < 0.001) and preoperative malnutrition (adjusted OR = 0.29; p = 0.029). Good adherence was significantly associated with a shorter postoperative length of stay (p < 0.001) and a lower complication rate (p = 0.007). Systemic disease and malnutrition constitute significant barriers to ERAS adherence.

Article Details

Keywords

Enhanced Recovery After Surgery (ERAS), Colorectal surgery, Adherence, Malnutrition

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