The effect of the enhanced recovery after surgery (ERAS) care program on the incidence of early complications in patients undergoing kidney surgery

Sadreddini, Mohammadamin; Kashani, Fahimeh

doi:10.61882/JBUMS.32.2.152

Volume 32, Issue 2 (Summer 2025) J Birjand Univ Med Sci. 2025, 32(2): 152-161 | Back to browse issues page

‎ 10.61882/JBUMS.32.2.152

Research code: IR.IAU.KHUISF.REC.1403.446

Ethics code: IR.IAU.KHUISF.REC.1403.446

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Sadreddini M, Kashani F. The effect of the enhanced recovery after surgery (ERAS) care program on the incidence of early complications in patients undergoing kidney surgery. J Birjand Univ Med Sci. 2025; 32 (2) :152-161
URL: http://journal.bums.ac.ir/article-1-3528-en.html

The effect of the enhanced recovery after surgery (ERAS) care program on the incidence of early complications in patients undergoing kidney surgery

Mohammadamin Sadreddini¹

, Fahimeh Kashani ^*²

1- Community Health Research Center, Isf.C., Islamic Azad University, Isfahan, Iran
2- Community Health Research Center, Isf.C., Islamic Azad University, Isfahan, Iran , fkashani2@gmail.com

Abstract: (301 Views)

Background and Aims: Kidney surgery is associated with various postoperative complications that can affect patients. This study aimed to evaluate the effect of the Enhanced Recovery After Surgery (ERAS) care program on the incidence of early complications in patients undergoing kidney surgery.
Materials and Methods: This single-blind quasi-experimental study was conducted using convenience sampling on 40 nephrectomy patients at Hasheminejad Hospital, Tehran, Iran, in 2023. The patients were randomly divided into the intervention and control groups. The intervention outcomes were evaluated using the Sequential Organ Failure Assessment (SOFA) scoring system and a researcher-made checklist. Data were analyzed using SPSS software (version 26) and appropriate statistical tests.
Results: The mean age of the participants was 45.3±8.7 years, and the gender distribution was the same in both groups (85% male, 15% female). The mean SOFA score after the intervention was significantly lower in the ERAS group (1.80±1.01), compared to the control group (4.70±3.23) (P<0.001). All patients in the ERAS group achieved the optimal recovery category (SOFA score: 0-7), while only 75% of the patients in the control group reached this level of recovery.
Conclusion: The findings of this study indicate a significant reduction in SOFA scores and postoperative complications. Therefore, the implementation of the ERAS care program can be considered an effective strategy for improving the quality of postoperative care.

Keywords: Care Program, Enhanced Recovery After Surgery, Kidney Surgery, Nursing, Postoperative Complications

Full-Text [PDF 462 kb] (138 Downloads)

Type of Study: Original Article | Subject: Medical-Surgical Nursing
Received: 2025/06/8 | Accepted: 2025/09/20 | ePublished: 2025/07/1

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