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Elektive kolorektale Fast-track-Resektionen – Behandlungsadhärenz bei Koordination durch spezialisierte Fast-track-Assistenz

Elective colorectal fast-track resections—Treatment adherence due to coordination by specialized nursing personnel

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Zusammenfassung

Fast-track-Behandlungspfade vermindern bei elektiven kolorektalen Resektionen die Häufigkeit postoperativer Komplikationen um etwa 40 % und senken aufgrund der rascheren Genesung die postoperative Krankenhausverweildauer um etwa 50 %. International wurden bereits frühzeitig spezialisierte Pflegekräfte („ERAS-nurses“) eingestellt, um die Durchführung der multimodalen perioperativen Therapie zu begleiten und zu überwachen. In der Klinik für Allgemein- und Viszeralchirurgie des Städtischen Klinikums Solingen wurde im November 2018 eine Fast-track-Assistenz zur Koordination der Fast-track-Behandlungspfade eingestellt. Die Ergebnisse belegen, dass auch im deutschen Krankenhaussystem durch den Einsatz spezialisierter Pflegekräfte eine hohe Adhärenz zum perioperativen Fast-track-Behandlungskonzept erreicht werden kann mit den genannten Vorteilen für Patienten, Pflegende, Ärzte und Krankenhausträger.

Abstract

Fast-track treatment pathways reduce the frequency of postoperative complications in elective colorectal resections by approximately 40% and due to the rapid recovery reduce the postoperative duration of hospitalization by approximately 50%. Specialized nursing personnel (enhanced recovery after surgery, ERAS, nurses) have already been appointed internationally to accompany and monitor the execution of multimodal perioperative treatment. In November 2018 a fast-track assistant was appointed in the Clinic for General and Visceral Surgery of the Municipal Clinic in Solingen for coordination of the fast-track treatment pathway. The results confirmed that a high adherence to perioperative fast-track treatment concepts can also be achieved in the German healthcare system by the assignment of specialized nursing personnel, with the known advantages for patients, nursing personnel, physicians and hospital sponsors.

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Abb. 1

Notes

  1. ERAS ist durch die ERAS®-Society seit 2016 urheberrechtlich geschützt (Quellen: https://erassociety.org/about/history/ und https://erassociety.org/wp-content/uploads/2016/05/ERAS-Society-Trademark-information-June-2016.pdf Zugriff am 07.04.2021).

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Author information

Authors and Affiliations

  1. Oberlörickerstr. 390B, 40547, Düsseldorf, Deutschland

    Wolfgang Schwenk

  2. Städtisches Klinikum Solingen, Solingen, Deutschland

    Ina Lang & Marion Huhn

Authors
  1. Wolfgang Schwenk
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  2. Ina Lang
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  3. Marion Huhn
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Correspondence to Wolfgang Schwenk.

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Interessenkonflikt

W. Schwenk ist seit 01.03.2021 als geschäftsführender Gesellschafter einer Gesellschaft tätig, die Fast-track-Programme mithilfe eines strukturierten Programms in deutschen Krankenhäusern einführt. I. Lang und M. Huhn geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Diese retrospektive Studie erfolgte nach Konsultation der zuständigen Ethikkommission und im Einklang mit nationalem Recht.

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Schwenk, W., Lang, I. & Huhn, M. Elektive kolorektale Fast-track-Resektionen – Behandlungsadhärenz bei Koordination durch spezialisierte Fast-track-Assistenz. Chirurg 93, 499–508 (2022). https://doi.org/10.1007/s00104-021-01484-9

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