The impact of multidisciplinary intervention under the concept of ERAS on the prognosis of frail older patients undergoing gastrectomy: a non-randomized prospective cohort study
Year: 2026
Type: article
Abstract: To explore the impact of a multidisciplinary intervention model guided by the Enhanced Recovery After Surgery (ERAS) concept on the prognosis of frail older patients undergoing gastrectomy and to provide clinical evidence for optimizing perioperative management strategies. A non‑randomized prospective cohort study with historical controls design was adopted. A total of 81 frail older patients who underwent elective gastrectomy in our hospital from January 2023 to June 2025 were selected and divided into a Intervention Group ( n = 42) and a Conventional Group (historical control, n = 39) based on time of enrollment (before vs. after April 2023). The Conventional Group received the traditional perioperative management model, while the Intervention Group was subjected to a multidisciplinary collaborative ERAS intervention plan involving the surgical department, anesthesiology, nutrition, rehabilitation, geriatrics, and the nursing team. The postoperative complication rate, hospital stay, ICU stay, postoperative functional recovery, and 30-day readmission rate were compared between the two groups, and the clinical value of the multidisciplinary ERAS intervention was analyzed. Exploratory analyses showed that the total postoperative complication rate (χ² = 4.086, P = 0.043), postoperative hospital stay (7.1 ± 2.2 vs. 10.5 ± 3.4 days, P < 0.001), and ICU stay (0.98 ± 0.82 vs. 2.41 ± 1.45 days, P < 0.001) were lower in the Intervention Group than in the Conventional Group. At 7 days postoperatively, the 6-minute walk test distance was also better in the Intervention Group than in the Conventional Group ( P < 0.001). The 30-day readmission rate was numerically lower in the Intervention Group (4.8% vs. 12.8%), but the difference was not statistically significant ( P = 0.189), and the confidence interval was wide; no causal inference can be drawn. Implementing a multidisciplinary ERAS-based intervention for frail older patients undergoing gastrectomy reduced postoperative complications, shortened hospital stay, and improved functional recovery and prognosis, supporting its clinical adoption.
Source: BMC Geriatrics
Authors: Chunhong Niu, Xinrui Zhang, Yijuan Feng
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,190
OpenAlex ID: W7138836990