Adherence to the enhanced recovery after surgery protocol and its influencing
factors among patients in Southwestern China: a multicenter cross-sectional
study
#MMPMID41189891
Mu T
; Chen Y
; Ren L
; Lv F
; Hu J
; Liu C
; Wang C
; An R
; Shen Y
Front Med (Lausanne)
2025[]; 12
(?): 1660083
PMID41189891
show ga
BACKGROUND: There is limited research on adherence to Enhanced Recovery After
Surgery (ERAS) protocols among hospitalized patients and the factors influencing
it, both in China and globally. METHODS: A random sample of 1,203 participants
from 45 hospitals in Southwestern China was surveyed on ERAS protocol
implementation, including 16 items. A questionnaire assessed awareness,
attitudes, and social and environmental support factors. Multivariable linear
regression model was used to analyze factors affecting ERAS adherence. RESULTS:
The final analysis included 806 surgical patients, with an average ERAS adherence
rate of 71.5% (56.3, 81.3%). The highest completion rates were seen in avoidance
of prolonged fasting (88.6%) and prophylactic antibiotic use (88.2%), while the
lowest were in preoperative oral carbohydrate intake (42.2%) and deep vein
thrombosis prevention (52.4%). Factors positively influencing adherence included
educational background (p?=?0.010), surgical grade (p?=?0.013), positive
attitudes toward ERAS (p?0.001), perception of ERAS (p?0.001) and social and
environmental supports (p?0.001). Negative influences included non-tertiary
center status (p?=?0.039) and negative attitudes (p?=?0.002). CONCLUSION: ERAS
adherence in Southwestern China remains low, with various factors such as
hospital grade, patients' educational background, their perceptions and attitudes
toward ERAS, and their social and environmental support influencing ERAS
adherence rates. CLINICAL TRIAL REGISTRATION: http://clinicaltrials.gov,
Identifier ChiCTR2400086759.