Enhanced Recovery Pathway in Adults Undergoing Elective Posterior Thoracolumbar Fusion Surgery: Outcomes Compared with a Traditional Care Pathway.

IF 1.2 Q3 ORTHOPEDICS Advances in Orthopedics Pub Date : 2021-09-15 eCollection Date: 2021-01-01 DOI:10.1155/2021/6204831

Khalid AlSaleh, Khalid Murrad, Abdulmajeed AlZakri, Osama Alrehaili, Waleed Awwad

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引用次数: 4

Abstract

Introduction: Spine fusion surgery is an increasingly popular procedure, but the patient experience is variable and the cost is high. Enhanced recovery after surgery (ERAS) pathways can provide a standardized plan for spine fusion cases, improving quality of care and reducing costs. We report an early attempt at the implementation of such a pathway and compare it to a historical cohort.

Methods: All adult patients undergoing elective posterior thoracolumbar spine fusion in 2019 and 2020 were included in the study. The ERAS protocol implementation started in January 2020. The study cohort was all cases performed in 2020-after implementation of ERAS-while the historical cohort was cases from 2019. Demographic and clinical data were collected and compared between the groups.

Results: Ninety-three patients were included in the study. The study cohort (ERAS) included 42 patients, while the comparison group (pre-ERAS) included 51 patients. Demographic and preoperative clinical data were similar between the two groups. However, postoperative clinical data showed that ERAS resulted in less reliance on analgesics, earlier mobilization, and a reduced length of stay. Complication and readmission rates were unchanged.

Conclusion: ERAS can reduce costs while maintaining or improving clinical outcomes for spinal fusion surgery.

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成人择期后胸腰椎融合手术的增强恢复途径:与传统护理途径比较的结果。

脊柱融合手术是一种越来越流行的手术，但患者的经验是可变的，费用很高。加强术后恢复(ERAS)路径可以为脊柱融合病例提供标准化的计划，提高护理质量并降低成本。我们报告了实施这种途径的早期尝试，并将其与历史队列进行比较。方法:纳入2019年和2020年接受择期后胸腰椎融合手术的所有成年患者。ERAS协议于2020年1月开始实施。研究队列为实施eras后2020年的所有病例，而历史队列为2019年的病例。收集两组的人口学和临床资料并进行比较。结果:93例患者纳入研究。研究队列(ERAS)包括42例患者，而对照组(ERAS前)包括51例患者。两组患者的人口学和术前临床资料相似。然而，术后临床数据显示ERAS减少了对镇痛药的依赖，提早活动，缩短了住院时间。并发症和再入院率不变。结论:ERAS可以降低成本，同时维持或改善脊柱融合手术的临床效果。

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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来源期刊

Advances in Orthopedics ORTHOPEDICS-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Advances in Orthopedics is a peer-reviewed, Open Access journal that provides a forum for orthopaedics working on improving the quality of orthopedic health care. The journal publishes original research articles, review articles, and clinical studies related to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.