Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study

Autor: Ting Li, Zhi-Jian Sun, Yan Zhou, Wei-Tong Sun, Peng-Cheng Wang, Xin-Yu Cai, Jun-Bo Liang, Jing-Ming Dong, Da-Peng Zhou, Kai Yu, Ming-Xin Wu, Jiu-Sheng He, Liang-Yuan Wen, Bao-Qing Yu, Jian Wang, Jun Yang, Feng-Fei Lin, Bing-Zuan Li, Zong-Xin Shi, Bao-Jun Wang, Ai-Guo Wang, Gui-Ling Peng, Xu Sun, Hong-Hao Xiao, Meng Mi, Xia Zhao, Chang-Run Li, Gang Liu, Shao-Liang Li, Hang-Yu Gu, Yuan Zhou, Zhe-Lun Tan, Xin-Bao Wu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Pain Research and Management, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 1918-1523
DOI: 10.1155/2022/3458056
Popis: Background. The enhanced recovery after surgery (ERAS) program is aimed to shorten patients’ recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture. Methods. This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. According to the perioperative protocol, patients were divided into two groups: the ERAS group and the traditional group. The primary outcome was the patients’ satisfaction of the whole treatment on discharge and at 6 months postoperatively. The secondary outcomes include delapsed time between admission and surgery, length of hospital stay, postoperative complications, functional score, and the MOS item short form health survey-36. Results. Data describing 772 patients with ankle fracture and 658 patients with distal radius fracture were collected, of which 323 patients with ankle fracture and 323 patients with distal radial fracture were included for analysis. The patients in the ERAS group showed higher satisfaction levels on discharge and at 6 months postoperatively than in the traditional group (P
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