Abstract：
OBJECTIVE: Enhanced recovery protocols (ERP) have been shown to improve patient outcomes and is now regarded as standard of care in elective surgical setting. However, the literature addressing the use of ERP in trauma and emergency abdominal surgery (EAS) is limited and heterogenous. A scoping review was conducted to comprehensively assess the literature on ERP in trauma laparotomy and EAS.
METHODS: Three bibliographic databases were searched for studies addressing ERP in trauma laparotomy and EAS. We extracted the study characteristics including study design, country, year, surgical procedures, ERP components used, and outcomes. Reporting was according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews.
RESULTS: After screening of 1631 articles for eligibility, 39 studies were included in the review. There has been an increase in the number of articles in the field, with 44% of the identified studies published between 2020 and 2022. Fourteen different protocols were identified, with varying components for each operative phase (preoperative; 29, intraoperative; 20, postoperative; 27). The majority of the studies addressed the effectiveness of ERP on clinical outcomes (31/39: 79%). Only two studies (5%) included purely trauma populations.
CONCLUSIONS: Studies on ERP implementations in the EAS populations were published across a range of countries, with improved outcomes. However, a clear gap in ERP research on trauma laparotomy was identified. This scoping review indicates that standardization of care through ERP implementation has potential to improve the quality of care in both EAS and trauma laparotomy.
METHODS: Three bibliographic databases were searched for studies addressing ERP in trauma laparotomy and EAS. We extracted the study characteristics including study design, country, year, surgical procedures, ERP components used, and outcomes. Reporting was according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews.
RESULTS: After screening of 1631 articles for eligibility, 39 studies were included in the review. There has been an increase in the number of articles in the field, with 44% of the identified studies published between 2020 and 2022. Fourteen different protocols were identified, with varying components for each operative phase (preoperative; 29, intraoperative; 20, postoperative; 27). The majority of the studies addressed the effectiveness of ERP on clinical outcomes (31/39: 79%). Only two studies (5%) included purely trauma populations.
CONCLUSIONS: Studies on ERP implementations in the EAS populations were published across a range of countries, with improved outcomes. However, a clear gap in ERP research on trauma laparotomy was identified. This scoping review indicates that standardization of care through ERP implementation has potential to improve the quality of care in both EAS and trauma laparotomy.
摘要：
目的：增强恢复方案（ERP）已被证明可以改善患者的预后，现在被认为是择期手术的标准护理。然而,关于ERP在创伤和紧急腹部手术(EAS)中的应用的文献是有限的和异质的.进行了范围审查，以全面评估有关创伤剖腹手术和EAS中ERP的文献。
方法：搜索了三个书目数据库，以研究创伤剖腹手术和EAS中的ERP。我们提取了研究特征，包括研究设计，国家,Year,外科手术,使用的ERP组件，和结果。报告是根据系统审查和荟萃分析（PRISMA）扩展的首选报告项目进行的。
结果：在筛选了1631篇文章的资格后，39项研究纳入审查。该领域的文章数量有所增加，44%的已确定研究在2020年至2022年之间发表。确定了14种不同的协议，每个手术阶段都有不同的成分（术前；29，术中；20，术后；27）。大多数研究讨论了ERP对临床结果的有效性（31/39：79％）。只有两项研究（5％）包括纯粹的创伤人群。
结论：关于EAS人群中ERP实施的研究发表于一系列国家，改善结果。然而,在创伤剖腹手术的ERP研究中发现了一个明显的差距.这项范围审查表明，通过实施ERP进行标准化护理有可能提高EAS和创伤剖腹手术的护理质量。
方法：搜索了三个书目数据库，以研究创伤剖腹手术和EAS中的ERP。我们提取了研究特征，包括研究设计，国家,Year,外科手术,使用的ERP组件，和结果。报告是根据系统审查和荟萃分析（PRISMA）扩展的首选报告项目进行的。
结果：在筛选了1631篇文章的资格后，39项研究纳入审查。该领域的文章数量有所增加，44%的已确定研究在2020年至2022年之间发表。确定了14种不同的协议，每个手术阶段都有不同的成分（术前；29，术中；20，术后；27）。大多数研究讨论了ERP对临床结果的有效性（31/39：79％）。只有两项研究（5％）包括纯粹的创伤人群。
结论：关于EAS人群中ERP实施的研究发表于一系列国家，改善结果。然而,在创伤剖腹手术的ERP研究中发现了一个明显的差距.这项范围审查表明，通过实施ERP进行标准化护理有可能提高EAS和创伤剖腹手术的护理质量。
