Enhanced recovery after surgery for hip and knee arthroplasty: A systematic review and meta-analysis on randomized control trials

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-09-21 DOI:10.1016/j.gerinurse.2024.08.002

Wen Zhou , Shiying Chu , Yuan Zhou , Yongjing Huang

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Abstract

Objectives

This review aimed to compare the efficacy and safety of enhanced recovery after surgery (ERAS) versus traditional care in patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA).

Methods

All randomized controlled trials (RCTs) were acquired via a comprehensive search of multiple databases. A meta-analysis was performed using Cochrane Collaboration's RevMan 5.4 software to calculate effect sizes.

Results

This meta-analysis included 850 patients in the ERAS group and 845 patients in the control group (patients who received traditional care). The outcomes suggested no significant difference in operative time, intraoperative blood loss, visual analogue scale, 30-day readmission rate, and mortality rate between the two groups. However, the ERAS group was associated with a significant decrease in transfusion rate, hospital length of stay, and postoperative complications. Moreover, the ERAS group had higher Hospital for Special Surgery scores and satisfaction rates.

Conclusions

Patients who underwent THA and TKA would benefit more from ERAS than traditional care.

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加强髋关节和膝关节置换术后的恢复：随机对照试验的系统回顾和荟萃分析

目的本综述旨在比较在接受全髋关节置换术（THA）和全膝关节置换术（TKA）的患者中，术后加强恢复（ERAS）与传统护理的有效性和安全性。方法通过对多个数据库进行全面检索，获得所有随机对照试验（RCT）。结果这项荟萃分析包括ERAS组的850名患者和对照组（接受传统护理的患者）的845名患者。结果显示，两组患者在手术时间、术中失血量、视觉模拟量表、30 天再入院率和死亡率方面无明显差异。不过，ERAS 组的输血率、住院时间和术后并发症明显减少。结论接受 THA 和 TKA 手术的患者将从 ERAS 中获得比传统护理更多的益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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