Efetividade dos protocolos eras em cirurgias abdominais eletivas: análise dos desfechos clínicos e custos hospitalares
DOI:
https://doi.org/10.34119/bjhrv8n3-016Keywords:
recuperação otimizada pós-cirúrgica, cirurgia abdominal eletiva, Protocolo ERAS, desfechos clínicos, tempo de internação, custo hospitalarAbstract
Este estudo teve como objetivo avaliar a efetividade dos protocolos Enhanced Recovery After Surgery (ERAS) aplicados em cirurgias abdominais eletivas, com ênfase nos desfechos clínicos e nos custos hospitalares. Trata-se de uma revisão narrativa baseada em estudos encontrados na base de dados PubMed, utilizando os descritores “enhanced recovery after surgery”, “abdominal surgery”, “elective surgical procedures” e “treatment outcome”, no período de 2008 a 2025. Foram incluídos estudos clínicos, observacionais e revisões que abordassem o impacto do protocolo ERAS nesse tipo de procedimento cirúrgico. Os resultados evidenciaram uma redução significativa no tempo de internação, menor taxa de complicações pós-operatórias e, em alguns casos, redução dos custos hospitalares. Tais benefícios foram observados inclusive em subgrupos específicos, como pacientes idosos e obesos, bem como em diferentes tipos de cirurgia abdominal. Conclui-se que os protocolos ERAS são eficazes e seguros, promovendo melhora nos desfechos clínicos e otimização do uso de recursos hospitalares. A adoção sistemática e a manutenção da adesão ao protocolo são fundamentais para garantir os efeitos positivos da estratégia.
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