Comparative short-term outcomes of enhanced recovery after surgery (ERAS) program and none-ERAS traditional care in elderly patients undergoing lumbar arthrodesis: a retrospective study
Background: Enhanced recovery after surgery (ERAS) program is an evidence-based improvement over none-ERAS traditional care. The aim of the present study was to analyze the safety, feasibility, and efficacy of an ERAS program in patients over 70 years undergoing lumbar arthrodesis by comparison with none-ERAS traditional care.
Methods: During January 2018 to December 2018, patients enrolled received none-ERAS traditional care, while the ERAS program was implemented from January to December 2019. Demographic characteristics, comorbidities, surgical data and postoperative recovery parameters were collected from all patients. Postoperative pain scores were evaluated by visual analog scales (VAS). The clinical outcomes were length of stay (LOS), postoperative complications and postoperative pain scores. Compliance results were also collected.
Result: A total of 127 patients were enrolled, including 67 patients in the none-ERAS traditional care group and 60 patients in the ERAS group. The demographic characteristics and comorbidities of the two groups showed no significant differences. The LOS of patients treated with ERAS program (13.6±4.0 days) was significantly less than that of patients treated with none-ERAS traditional care (15.6±3.9 days) (p = 0.034). Complication rate was 8.3% in the ERAS group versus 20.9% in the none-ERAS traditional care group (p = 0.048). VAS (back) in the ERAS group was significantly lower on postoperative day (POD) 1 and POD2. Postoperative recovery parameters were improved in the ERAS group. The overall compliance with the ERAS program was 94%.
Conclusions: Based on our results, ERAS program is safer and more effective for elderly patients over 70 undergoing lumbar arthrodesis than none-ERAS traditional care.
Posted 14 Jan, 2021
On 20 Jan, 2021
Invitations sent on 19 Jan, 2021
On 31 Dec, 2020
On 31 Dec, 2020
On 31 Dec, 2020
On 17 Dec, 2020
Received 14 Dec, 2020
On 08 Dec, 2020
Invitations sent on 04 Nov, 2020
On 28 Oct, 2020
On 27 Oct, 2020
On 27 Oct, 2020
On 13 Oct, 2020
Received 02 Oct, 2020
On 29 Sep, 2020
Invitations sent on 01 Jul, 2020
On 01 Jul, 2020
Received 01 Jul, 2020
On 23 Jun, 2020
On 22 Jun, 2020
On 22 Jun, 2020
On 22 Jun, 2020
Comparative short-term outcomes of enhanced recovery after surgery (ERAS) program and none-ERAS traditional care in elderly patients undergoing lumbar arthrodesis: a retrospective study
Posted 14 Jan, 2021
On 20 Jan, 2021
Invitations sent on 19 Jan, 2021
On 31 Dec, 2020
On 31 Dec, 2020
On 31 Dec, 2020
On 17 Dec, 2020
Received 14 Dec, 2020
On 08 Dec, 2020
Invitations sent on 04 Nov, 2020
On 28 Oct, 2020
On 27 Oct, 2020
On 27 Oct, 2020
On 13 Oct, 2020
Received 02 Oct, 2020
On 29 Sep, 2020
Invitations sent on 01 Jul, 2020
On 01 Jul, 2020
Received 01 Jul, 2020
On 23 Jun, 2020
On 22 Jun, 2020
On 22 Jun, 2020
On 22 Jun, 2020
Background: Enhanced recovery after surgery (ERAS) program is an evidence-based improvement over none-ERAS traditional care. The aim of the present study was to analyze the safety, feasibility, and efficacy of an ERAS program in patients over 70 years undergoing lumbar arthrodesis by comparison with none-ERAS traditional care.
Methods: During January 2018 to December 2018, patients enrolled received none-ERAS traditional care, while the ERAS program was implemented from January to December 2019. Demographic characteristics, comorbidities, surgical data and postoperative recovery parameters were collected from all patients. Postoperative pain scores were evaluated by visual analog scales (VAS). The clinical outcomes were length of stay (LOS), postoperative complications and postoperative pain scores. Compliance results were also collected.
Result: A total of 127 patients were enrolled, including 67 patients in the none-ERAS traditional care group and 60 patients in the ERAS group. The demographic characteristics and comorbidities of the two groups showed no significant differences. The LOS of patients treated with ERAS program (13.6±4.0 days) was significantly less than that of patients treated with none-ERAS traditional care (15.6±3.9 days) (p = 0.034). Complication rate was 8.3% in the ERAS group versus 20.9% in the none-ERAS traditional care group (p = 0.048). VAS (back) in the ERAS group was significantly lower on postoperative day (POD) 1 and POD2. Postoperative recovery parameters were improved in the ERAS group. The overall compliance with the ERAS program was 94%.
Conclusions: Based on our results, ERAS program is safer and more effective for elderly patients over 70 undergoing lumbar arthrodesis than none-ERAS traditional care.