Application of Enhanced Recovery after Surgery (ERAS) in Perioperative Treatment of Spinal Fracture
TIAN Ai-xian,MA Jian-xiong,MA Xin-long
Institute of Orthopedics, Tianjin Hospital Tianjin Hospital, Tianjin University,Tianjin 300050, China
Abstract:
Objective To explore the application of enhanced recovery after surgery (ERAS) in the perioperative period of spinal fractures. Methods In this study, 50 patients admitted to the spine surgery department of Tianjin Hospital who underwent ERAS program were assigned to the ERASgroup, and 50 retrospective cohort patients who underwent surgery before the implementation of ERAS program were assigned to the control group.Postoperative pain score (VAS score), opioid consumption, length of hospital stay, postoperative complications and 30-day rehospitalization rate were compared between the two groups. Results Postoperative VAS scores of ERAS group were (6.80±1.90), (6.50±2.10), (5.80±1.60), (3.80±1.10) at discharge and (3.20±1.30) one month after operation, all of which were lower than those of control group (P<0.05).Before surgery, there was no significant difference in the consumption of opiates between ERAS group and control group (P>0.05). The consumption of opiates in ERAS group on day 1, day 2 and day 3 were all lower than those in control group (12.50±3.90), (10.50±3.70) and (8.70±3.10), with statistical significance (P<0.05). The average length of hospital stay in ERAS group was (3.90±1.62) days less than that in control group (7.14±3.45) days, and the difference was statistically significant (P<0.05).Complications at 30 days after surgery were significantly higher in the control group (15 cases) (30%) than in the ERAS group (6 cases) (12%) (P=0.03).There was no significant difference in the 30-day rehospitalizationrate between the two groups (P=0.37). Conclusion ERAS can significantly accelerate postoperative recovery of patients with spinal fractures and bene?t more patients with spinal surgery, so it is worth promoting.
