Retrospective cohort analysis investigates gender differences in outcomes of UFT-ERAS in cardiac surgery, suggesting similar recovery potential but more transfusion needs in women.
Key Points
This study aims to explore gender-mediated differences in postoperative outcomes of an ultra-fast-track enhanced recovery program following cardiac surgery.
Retrospective cohort analysis of 800 consecutive patients undergoing UFT-ERAS from 01/2021 to 09/2024.
Patients were categorized by gender to compare outcomes.
Primary outcome was UFT-ERAS achievement measured by a 0–5 score of postoperative milestones.
Secondary outcomes included major adverse cardiovascular events and other complications.
Women were older and demonstrated higher baseline risk scores.
Overall adherence to ERAS and major postoperative complications were similar between women and men.
Women experienced lower rates of discharge within 7 days and higher requirements for postoperative transfusions.
Sex was not independently linked to ERAS achievement after multivariable adjustment.