Enhanced recovery after surgery protocol implementation in pediatric Meckel’s diverticulum resection: A clinical outcome study

Table 6 Comparison of postoperative outcomes of the two groups, n (%)/median (25^th percentile, 75^th percentile)/mean ± SD

Parameter	ERAS group (n = 40)	TRAD group (n = 38)	P value	Hedges (g)	Odds ratio	95%CI
Recovery parameters (days)
Time to ambulation	1.00 (1.00, 2.00)	3.00 (2.00, 3.00)	< 0.001	-1.59		-1.50 to -0.85
First flatus	2.00 (1.00, 2.00)	3.00 (2.00, 3.75)	< 0.001	-1.12		-1.30 to -0.58
TEN achievements	5.00 (5.00, 6.00)	6.50 (6.00, 8.00)	< 0.001	-1.36		-2.22 to -1.10
IV duration	6.00 (5.00, 6.00)	8.00 (7.00, 9.00)	< 0.001	-1.92		-3.09 to -1.68
Catheter duration (days)
NGTs	2.00 (1.50, 3.00)	3.00 (3.00, 4.00)	< 0.001	-1.44		-2.26 to -0.84
Urinary catheters	1.00 (1.00, 2.00)	3.00 (2.00, 3.00)	0.016	-1.38		-2.11 to -0.42
Abdominal drains	2.71 ± 0.76	4.72 ± 1.23	0.001	-1.73		-3.04 to -0.97
Complications	7 (17.50)	5 (13.16)	0.595		1.40	0.40-4.86
Nausea/vomiting	3 (7.50)	2 (5.26)	1		1.46	0.23-9.26
Abdominal distension	5 (12.50)	4 (10.53)	1		1.21	0.30-4.91
Cough/sputum production	2 (5.00)	2 (5.26)	1		0.95	0.13-7.09
Umbilical infection	1 (2.50)	0 (0.00)	1		2.92	0.12-74.02
Residual abdominal infection	1 (2.50)	1 (2.63)	1		0.97	0.06-16.15
Anastomotic leakage	0 (0.00)	1 (2.63)	0.487		0.31	0.01-7.81
Clavien-Dindo classification			1		0.89	0.09-9.16
Grade I	4 (10.00)	3 (7.90)
Grade II	3 (7.50)	2 (5.26)
Parental satisfaction	37 (92.50)	33 (86.84)	0.476		1.87	0.41-8.43
30-day readmission	1 (2.50)	1 (2.63)	1		0.95	0.06-15.73
Incomplete obstruction	1 (2.50)	0 (0.00)	1		2.92	0.12-74.02
Residual abdominal infection	0 (0.00)	1 (2.63)	0.487		0.31	0.01-7.81
Laboratory parameters
WBC (× 109/L)	9.66 ± 3.02	10.62 ± 4.01	0.336		-0.26	-2.93 to 1.02
NEUT (× 109/L)	5.98 ± 2.02	8.01 ± 3.98	0.015		-0.60	-3.63 to -0.41
CRP (mg/L)	13.67 (7.85, 22.11)	19.63 (7.10, 32.69)	0.20		-0.35	-21.83 to 0.05
Hb (g/L)	117.82 ± 13.51	114.46 ± 12.60	0.348		0.26	-3.75 to 10.46
PAB (g/L)	0.18 (0.15, 0.21)	0.15 (0.13, 0.18)	0.01		-0.60	0.01-0.04
Glu (mmol/L)	5.53 (4.79, 6.43)	6.46 (5.35, 8.81)	0.023		-0.60	-2.25 to -0.03

TEN: Total enteral nutrition; IV: Intravenous; NGT: Nasogastric tube; WBC: White blood cell; NEUT: Neutrophil; CRP: C-reactive protein; Hb: Hemoglobin; PAB: Prealbumin; Glu: Blood glucose; ERAS: Enhanced recovery after surgery; TRAD: Traditional care group; CI: Confidence interval.