Evidence map›Paper›PMID 42244835›Full record

ArticleEuropean journal of anaesthesiology and intensive care2026

Effect of postoperative enhanced recovery program care compared to conventional care following aortic valve replacement: A retrospective analysis.

Thomas Van Bos, Charlotte Erskine, Peter Verbrugghe, Steffen Rex, Danny Feike Hoogma

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Article in European journal of anaesthesiology and intensive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Thomas Van BosFrom the University Hospitals Leuven, Department of Anaesthesiology, KU Leuven, Herestraat 49, B3000, Leuven, Belgium (TVB, SR, DFH), University of Glasgow, College of Medical, Veterinary and Life Sciences, Glasgow, G12 8QQ, United Kingdom (CE), University Hospitals Leuven, Department of Cardiac Surgery, KU Leuven, Herestraat 49, 3000, Leuven, Belgium (PV), University of Leuven, Biomedical Sciences Group, Department of Cardiovascular Sciences, KU Leuven, Belgium (PV, SR, DFH).
Charlotte ErskineFrom the University Hospitals Leuven, Department of Anaesthesiology, KU Leuven, Herestraat 49, B3000, Leuven, Belgium (TVB, SR, DFH), University of Glasgow, College of Medical, Veterinary and Life Sciences, Glasgow, G12 8QQ, United Kingdom (CE), University Hospitals Leuven, Department of Cardiac Surgery, KU Leuven, Herestraat 49, 3000, Leuven, Belgium (PV), University of Leuven, Biomedical Sciences Group, Department of Cardiovascular Sciences, KU Leuven, Belgium (PV, SR, DFH).
Peter VerbruggheFrom the University Hospitals Leuven, Department of Anaesthesiology, KU Leuven, Herestraat 49, B3000, Leuven, Belgium (TVB, SR, DFH), University of Glasgow, College of Medical, Veterinary and Life Sciences, Glasgow, G12 8QQ, United Kingdom (CE), University Hospitals Leuven, Department of Cardiac Surgery, KU Leuven, Herestraat 49, 3000, Leuven, Belgium (PV), University of Leuven, Biomedical Sciences Group, Department of Cardiovascular Sciences, KU Leuven, Belgium (PV, SR, DFH).
Steffen RexFrom the University Hospitals Leuven, Department of Anaesthesiology, KU Leuven, Herestraat 49, B3000, Leuven, Belgium (TVB, SR, DFH), University of Glasgow, College of Medical, Veterinary and Life Sciences, Glasgow, G12 8QQ, United Kingdom (CE), University Hospitals Leuven, Department of Cardiac Surgery, KU Leuven, Herestraat 49, 3000, Leuven, Belgium (PV), University of Leuven, Biomedical Sciences Group, Department of Cardiovascular Sciences, KU Leuven, Belgium (PV, SR, DFH).
Danny Feike HoogmaFrom the University Hospitals Leuven, Department of Anaesthesiology, KU Leuven, Herestraat 49, B3000, Leuven, Belgium (TVB, SR, DFH), University of Glasgow, College of Medical, Veterinary and Life Sciences, Glasgow, G12 8QQ, United Kingdom (CE), University Hospitals Leuven, Department of Cardiac Surgery, KU Leuven, Herestraat 49, 3000, Leuven, Belgium (PV), University of Leuven, Biomedical Sciences Group, Department of Cardiovascular Sciences, KU Leuven, Belgium (PV, SR, DFH).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn enhanced recovery program (ERP) after cardiac surgery is a multidisciplinary care program aimed at reducing postoperative stress response, accelerating organ function recovery, and decreasing hospital length of stay (LOS). While ERP in cardiac surgery has shown promise, high-quality evidence remains limited.

objectiveThis study evaluates the impact of a postanaesthesia care unit (PACU) care (including postoperative ERP interventions) vs. conventional intensive care unit (ICU) care in patients undergoing aortic valve replacement (AVR) on hospital LOS.

designRetrospective cohort study with a Cox proportional hazards regression analysis, adjusting for BMI, EuroSCORE II and surgical access.

settingSingle academic medical centre.

participantsPatients undergoing AVR with EuroSCORE II =3 and BMI <40, admitted postoperatively to either the PACU or ICU between 2011 and 2020.

interventionWhile pre-operative and intra-operative management were identical, postoperative care was protocolised in the PACU based on the Enhanced Recovery after Cardiac Surgery (ERAS Cardiac) pathway. MEASUREMENTS AND MAIN

resultsA total of 751 patients were included (345 receiving PACU care and 406 ICU care). The median hospital LOS (95% CI) was significantly shorter in the PACU care group (7 [6 to 9] vs. 9 [7 to 11] days,

conclusionCompared with conventional ICU, PACU-ERP care was associated with a significant reduction in hospital LOS in low-risk patients undergoing AVR. These findings suggest integrating the postoperative elements of ERAS Cardiac as a standard of care. Nevertheless, further prospective studies are needed for validation.

Identifiers

PMID42244835
PMCPMC13232927

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.