Application of enhanced recovery after surgery in the perioperative period of pediatric enterostomy closure

Figure 2 Comparative analysis of postoperative pain management, length of stay, and caregiver satisfaction between the enhanced recovery after surgery and traditional care groups. A: Postoperative pain assessment via the Face, Legs, Activity, Cry, Consolability pain assessment scale (FLACC) scale. The enhanced recovery after surgery (ERAS) group (n = 31) exhibited significantly lower FLACC scores than the traditional care (TRAD) group (n = 30) at all predefined timepoints within 48 hours postoperatively; B: Frequency of oral analgesic administration. The ERAS cohort required significantly more oral analgesic doses than the TRAD cohort (median: 4.00 doses vs 2.00 doses), consistent with the protocol’s multimodal analgesia strategy; C: Postoperative length of stay (LOS). Median LOS was significantly shortened in the ERAS group compared to the TRAD group (8.00 days vs 10.00 days). Subgroup analysis revealed a more pronounced LOS reduction in colostomy patients (ERAS: n = 11; TRAD: n = 12; 3.50-day reduction) than in small bowel stoma patients (2.00-day reduction); D: Caregiver satisfaction rate. The ERAS group had a significantly higher caregiver satisfaction rate than the TRAD group (96.77% vs 73.33%). ^aP < 0.05, ^bP < 0.01, ^cP < 0.001. Statistical analyses were performed using Mann-Whitney U tests (continuous variables) or χ² tests (categorical variables). FLACC: Face, Legs, Activity, Cry, Consolability pain assessment scale; ERAS: Enhanced recovery after surgery; TRAD: Traditional care; LOS: Length of stay.