{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T01:12:53Z","timestamp":1778721173738,"version":"3.51.4"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Ultra-fast-track (UFT) enhanced recovery after surgery (ERAS)\u2014defined by on-table extubation, minimally invasive surgical technique and de-escalated ICU care\u2014represents an intensified ERAS approach. Female patients remain under-represented in cardiac surgery research and experience worse postoperative outcomes. Therefore, we investigated possible gender-mediated differences in the outcomes of our UFT-ERAS program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 800 consecutive patients underwent UFT-ERAS for minimally invasive valve and aortic surgery at our institution from 01\/2021 to 09\/2024. Patients were divided by gender, and a retrospective cohort analysis was performed. The primary outcome was UFT-ERAS achievement, defined by a 0-5 score of postoperative milestones (on-table extubation, postoperative intermediate care, early physiotherapy, transfer to the general ward \u226424 h and hospital discharge \u22647 days). Secondary end points were major adverse cardiovascular events (MACE), reoperation for bleeding, reintubation, ICU readmission, acute kidney injury, atrial fibrillation, delirium and transfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women were older and had higher baseline risk scores. Overall, ERAS adherence and major postoperative complications were comparable between the sexes. Only discharge \u22647 days was less frequent, and postoperative transfusion need more frequent in women. In multivariable ordinal logistic regression adjusting for STS-PROM, age, and procedure type, sex was not independently associated with ERAS achievement (OR 0.88, 95% CI, 0.66-1.18).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this predominantly low-risk patient cohort within a UFT-ERAS pathway, sex was not independently associated with overall ERAS achievement. However, women more frequently required transfusion and were less likely to be discharged within 7 days.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag105","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T11:40:48Z","timestamp":1776339648000},"source":"Crossref","is-referenced-by-count":0,"title":["Enhanced Recovery After Cardiac Surgery: Gender Insights From an Ultra-Fast-Track Protocol"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9898-2394","authenticated-orcid":false,"given":"Sarah","family":"Berger Veith","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Faculty of Medicine, University of Augsburg , Stenglinstr. 2 , Augsburg, Bavaria 86156,","place":["Germany"]},{"name":"Department of Cardiovascular Surgery, Universit\u00e4tsklinikum Hamburg-Eppendorf , Martinistr. 52 , Hamburg 20251,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9810-0860","authenticated-orcid":false,"given":"Emre","family":"Polat","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Faculty of Medicine, University of Augsburg , Stenglinstr. 2 , Augsburg, Bavaria 86156,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Dumps","sequence":"additional","affiliation":[{"name":"Anesthesiology and Operative Intensive Care, Faculty of Medicine, University of Augsburg , Stenglinstr. 2 , Augsburg, Bavaria 86156,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Simon","sequence":"additional","affiliation":[{"name":"Anesthesiology and Operative Intensive Care, Faculty of Medicine, University of Augsburg , Stenglinstr. 2 , Augsburg, Bavaria 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Surgery, Faculty of Medicine, University of Augsburg , Stenglinstr. 2 , Augsburg, Bavaria 86156,","place":["Germany"]},{"name":"Department of Cardiovascular Surgery, Universit\u00e4tsklinikum Hamburg-Eppendorf , Martinistr. 52 , Hamburg 20251,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"2026051320473135000_ivag105-B1","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/j.athoracsur.2023.12.006","article-title":"Perioperative care in cardiac surgery: a joint consensus statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and the Society of Thoracic Surgeons (STS)","volume":"117","author":"Grant","year":"2024","journal-title":"Ann Thorac Surg"},{"key":"2026051320473135000_ivag105-B2","doi-asserted-by":"publisher","first-page":"ii14","DOI":"10.1093\/ejcts\/ezx508","article-title":"Ultra fast-track minimally invasive 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