Spanish Multi-Center EDM Trial Shows Significant Improvement in Patient Outcomes
Deltex Medical is pleased to announce the initial results of the largest ever Randomised Control Trial of EDM, which shows substantial reductions in post-operative complications.
A group of doctors from Spain, led by Professor Jose Maria Calvo Vecino, presented the findings from their 450 patient multi-center randomized controlled trial to doctors attending Euroanaesthesia 2016 in London, the annual meeting of the European Society of Anaesthesia. The trial was undertaken in five hospitals and included patients undergoing gastrointestinal, urological, gynecological and orthopedic surgery.
The trial, the first completed multi-center randomised controlled trial of EDM during surgery, showed:
- 72% reduction in total number of complications from 198 to 56 (p<0.01)
- 45% reduction in number of patients suffering one or more complications meaning Doppler use saved 28 additional patients from suffering any complication at all (15% v 28%: p<0.01)
- 2 day reduction in median length of stay (p<0.01)
In addition the study found statistically significant reductions in five types of major complication:
- Acute Kidney Injury: 75% reduction (5 patients v 21)
- Cardiopulmonary oedema: 100% reduction (0 v 13)
- Pneumonia: 83% reduction (4 v 22)
- Superficial surgical site infection: 75% reduction (4 v 16)
- Deep surgical site infection: 74% reduction (6 v 23)
RipollésMelchor J.1, CasansFrancés R.2, MartínezHurtado E.1, ÁlvarezBaena L.1, Lucena E.1, Calvo Vecino J.M.1, EAR GROUP
(Evidence Anesthesia Review Group), GOAL DIRECTED HEMODYNAMIC THERAPY DECRESASES POSTOPERATIVE COMPLICATIONS. RESULTS FROM A MULTICENTER RANDOMIZED CONTROLLED TRIAL, Presented at Euroanaesthesia 2016, London.
1Infanta Leonor University Hospital, Madrid, Spain. Universidad Compluense de Madrid., Dept of Anaesthesiology, Madrid, Spain, 2Hospital Clinico Univertsitario Lozano Blesa, Dept of Anaesthesiology, Zaragoza, Spain.