Article Sidebar

PDF
Date Published: 28/03/2026
Abstract Views: 0
Views PDF: 0
DOI: 10.56535/jmpm.v51i3.1859
Issue
Vol. 51 No. 3 (2026): JOURNAL OF MILITARY PHARMACO-MEDICINE No.3 - 2026
Section
Articles
How to Cite
Nguyen, Q. H., Hoang, K. C., Thai, M. S., Ha, T. N. X., Duong, N. X., Le, T. H. P., Vu, T. K. T., & Hoang, N. T. T. (2026). EFFECTIVENESS OF THE ENHANCED RECOVERY AFTER SURGERY PROGRAM IN KIDNEY TRANSPLANT RECIPIENTS. Journal of Military Pharmaco-medicine, 51(3), 211-219. https://doi.org/10.56535/jmpm.v51i3.1859

EFFECTIVENESS OF THE ENHANCED RECOVERY AFTER SURGERY PROGRAM IN KIDNEY TRANSPLANT RECIPIENTS

Quang Huy Nguyen1, , Khac Chuan Hoang1, Minh Sam Thai1, Thi Nhu Xuan Ha2, Nguyen Xuong Duong1, Thi Hanh Phuoc Le1, Thi Kieu Trang Vu1, Nguyen Thuy Tien Hoang1
1 Khoa Ngoại Tiết niệu, Bệnh viện Chợ Rẫy
2 Khoa Điều dưỡng, Đại học Y Dược Thành phố Hồ Chí Minh

Main Article Content

Abstract

Objectives: To evaluate the effectiveness of the Enhanced Recovery After Surgery (ERAS) program in kidney transplant recipients. Methods: A cross-sectional descriptive study was conducted on 140 patients who underwent kidney transplantation within an ERAS program between August 2023 and July 2025 at the Department of Urology, Cho Ray Hospital. Results: The preoperative fasting time was 6.6 ± 0.9 hours; preoperative carbohydrate loading time was 3.9 ± 0.7 hours; time to early oral intake was 5.6 ± 0.8 hours; time to first ambulation after surgery was 17.5 ± 1.4 hours. Catheter indwelling time and indwelling time of drainage 5.1 ± 0.4 days - 3.8 ± 0.7 days. The incidence of postoperative nausea and vomiting was 20.7%. Postoperative pain scores assessed by the Visual Analog Scale decreased from 4.9/10 at 6 hours to 2.3/10 at 24 hours. Post-transplant renal function (creatinine) was 1.07 ± 0.38mg/dL, eGFR was 80.73 ± 21.5 mL/min/1.73m2. The length of hospital stay was 6.7 ± 0.8 days. Conclusion: The ERAS program in kidney transplant recipients facilitated faster postoperative recovery and shortened the length of hospital stay. These findings represent clinically meaningful data and provide additional evidence to support nursing practice in implementing patient care protocols that have not yet been widely adopted across transplant centers.

Keywords

Enhanced recovery after surgery, Kidney transplantation, Length of hospital stay, Patient outcomes

Article Details

References

1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. May 1997; 78(5):606-17. DOI:10.1093/bja/78.5.606.
2. Oodit R, Biccard BM, Panieri E, et al. Guidelines for perioperative care in elective abdominal and pelvic surgery at primary and secondary hospitals in Low–Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) society recommendation. World Journal of Surgery. Aug 2022; 46(8):1826-1843. DOI:10.1007/s00268-022-06587-w.
3. Nguyễn Quang Huy, Hà Thị Như Xuân, Lê Thị Hạnh Phước và CS. Mức độ tự chăm sóc và thông số đo lường chức năng của người bệnh sau ghép thận. Tạp chí Y học Thành phố Hồ Chí Minh. 2021; 25(5):165-172.
4. Elsabbagh AM, Ghoneim I, Moiz A, Welch K, Brown JS. Enhanced recovery after surgery pathway in kidney transplantation: The road less traveled. Transplantation Direct. Jul 2022; 8(7):e1333. DOI:10.1097/txd.0000000000001333.
5. Finlay S, Asderakis A, Ilham A, Elker D, Chapman D, Ablorsu E. The role of nutritional assessment and early enteral nutrition for combined pancreas and kidney transplant candidates. Clin Nutr ESPEN. Feb 2017; 17:22-27. DOI:10.1016/j.clnesp.2016.12.002.
6. Zhu Q, Yang J, Zhang Y, Ni X, Wang P. Early mobilization intervention for patient rehabilitation after renal transplantation. Am J Transl Res. 2021; 13(6):7300-7305.