Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-09T09:59:46 RDF description of Results of introducing a rapid recovery program for total abdominal hysterectomy - http://repository.healthpartners.com/individual/document-rn19800 Case-Control Studies 20042 Results of introducing a rapid recovery program for total abdominal hysterectomy 10.1159/000328713 Anesthesia Hospitalization 73 1 Surgery Gynecologic and Obstetric Investigation document-rn19800 2022-02-21T22:48:57.408-06:00 Retrospective Studies 12731 <p>OBJECTIVE: To review the impact of implementing a rapid recovery protocol (RRP) for patients undergoing abdominal hysterectomy. SETTING: Metropolitan teaching hospital. POPULATION: Women undergoing abdominal hysterectomy for non-malignant indications. METHODS: We conducted a retrospective review of consecutive cases performed during study periods before and after the introduction of an elective rapid recovery program emphasizing regional anesthesia. To control for universal improvements in medical practice, charts from a comparable local hospital without an RRP were also reviewed. RESULTS: 400 charts were reviewed and 366 cases met inclusion criteria and had sufficient information. Patients were well matched for demographic and medical variables between the study periods and between the institutions. The median length of stay (LOS) fell dramatically from 3 (range 1-12) days prior to RRP introduction to 1 (range 1-17) day after RRP (p < 0.001). LOS among patients at the 'control' institution remained unchanged at 3 days during the same time frame, indicating that external pressures contributed minimally to the observed changes. There were no significant differences in estimated blood loss, duration of surgery, or complication rate between the groups in either time period. CONCLUSIONS: Introducing a rapid recovery program was associated with shorter hospitalization and did not appear to compromise surgical outcome.<p> public