TPT 4.09 Reducing Hospital Stay and Improving the Discharge Process for DIEP Flap Reconstruction Patients through ERAS Pathway Optimisation

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ID: 323944
2026
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Abstract
Abstract Background Delayed discharge following DIEP flap breast reconstruction prolongs hospital stay, increases costs, and may negatively affect patient experience. Enhanced Recovery After Surgery (ERAS) pathways consistently reduce length of stay and improve outcomes across surgical specialties. This project aimed to optimise the discharge process for DIEP patients in Hospital by integrating ERAS principles and patient feedback. Methodology Between December 2023 and October 2024, retrospective data were collected for 22 DIEP patients, including discharge times and delays following the ward round. Patient experience was assessed through questionnaires completed by 21 respondents. In October 2024, ERAS-based interventions were introduced: updated operative documentation, earlier preparation of discharge medications, staff education, and a streamlined discharge workflow. Prospective data from 19 patients (November 2024–May 2025) were then collected to evaluate the impact of these changes. Results Baseline data showed an average length of stay of 3 days, a median discharge time of 18:25, and a mean discharge delay of 8 hours 52 minutes. Following ERAS implementation, mean length of stay reduced to 2.9 days, the median discharge time improved to 16:20, and discharge delay decreased to 6 hours 34 minutes. Cost analysis demonstrated an estimated saving of £43 per patient in overnight bed costs and a cumulative saving of £742 through reduced delays. Conclusion Introducing an ERAS pathway informed by patient feedback effectively reduced hospital stay, improved discharge efficiency, and generated cost savings for DIEP flap patients. This model demonstrates the value of ERAS-driven quality improvement and supports broader adoption within breast reconstruction services.
Reference Key
openalex_W7172499349 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Omar Abdelmohsin, John Dickson
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.209
URL
https://doi.org/10.1093/bjs/znag087.209
Keywords Keywords not found

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