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This randomized clinical trial compared outcomes of ERAS versus traditional care protocols in 60 paediatric patients (2-13 years old) undergoing colostomy reversal. The ERAS group demonstrated a significantly shorter mean hospital length of stay (5.3 days) compared to the traditional care group (7.1 days). ERAS also facilitated earlier oral intake without increasing postoperative complications.
ERAS protocols significantly reduce hospital length of stay in paediatric patients undergoing colostomy reversal.
Objective: Comparing postoperative outcomes, particularly hospital length of stay (LOS), between paediatric patients undergoing colostomy reversal following Enhanced Recovery After Surgery (ERAS) and Traditional Care Protocol (TCP). Study Design and Setting: This randomized clinical trial (RCT) was conducted at the Children’s Hospital & Institute of Child Health, Faisalabad. Methodology: Sixty paediatric patients (aged 2–13 years) who underwent colostomy reversal were enrolled in the study, over a period of three months from the date of commencement. patients were recruited using a non-probability consecutive sampling technique and were subsequently randomized into the ERAS group (n = 30) or the TCP group (n = 30). Categorical variables, such as gender and diagnosis, were summarised as frequencies and percentages. Results: The study was completed by all sixty randomised patients, with a mean age of 6.78 ± 0.43 years, and 51.7% were male. The ERAS group had a significantly shorter mean hospital length of stay (5.3 ± 0.8 days) compared with the TCP group (7.1 ± 1.1 days; p < 0.001). Conclusion: The application of the Enhanced Recovery After Surgery (ERAS) protocol in paediatric colostomy reversal resulted in a shorter hospital stay and earlier commencement of oral intake, without increasing postoperative complications compared to the Traditional Care Protocol (TCP)
