Targeted ERAS implementation for postoperative care after Bellwether procedures in Africa: A pragmatic cluster-randomized trial from Ethiopia.

ABSTRACT:

Introduction

In Africa, where access to timely and safe surgical care remains limited, postoperative complications and prolonged hospital stays continue to challenge health systems. The Enhanced Recovery After Surgery (ERAS) protocol has been shown to improve perioperative outcomes by reducing hospital length of stay (LOS) and complications, but compliance remains inconsistent.

Objective

To determine whether improving ERAS compliance in Ethiopia, through a "Triple Intervention Strategy" of early postoperative feeding, ambulation, and urinary catheter removal, could reduce hospital LOS for patients undergoing laparotomy and cesarean section (CS).

Methods

This study was designed as a cluster-randomized clinical trial conducted across 10 hospitals within the National Per

SUBMITTER: Belachew FK 

PROVIDER: S-EPMC12668078 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature