Analysis of Enhanced Recovery After Surgery (ERAS) protocol
Researchers aimed to demonstrate that the implementation of Enhanced Recovery After Surgery (ERAS) protocol shortens the length of hospital stay (LOS), reduces pain, decreases the incidence of postoperative complications, and promotes functional recovery of the joint.

Researchers selected 2 periods of 1 year, before (n=98patients) and after ERAS implementation (n=92patients). Data were collected on patient demographics, operative and perioperative details, LOS, VAS score, Harris score, and 30-day complications. ERAS-trained nurses are engaged to support patients at each step of the pre/per/postoperative process, including completing a satisfaction survey. PS analyses were used for dealing with confounding bias in this retrospective observational study.

Results:
--After PS matching, the outcomes of 124 well-balanced pairs of patients were compared.

--LOS was significantly reduced from 24.3±3.9 to 15.2±2.9 days.

--With the same preoperative VAS scores, it was found that patients in the ERAS group had significantly lower postoperative VAS scores than those in the conventional group at days 3 and 7, but the difference was not statistically significant at day 14.

--Patients in the ERAS group had higher Harris scores than those in the conventional group at 1 and 3 months, but the difference was not significant at 6 months.

--In addition, we found that only one patient in the ERAS group developed complications, while nine patients in the conventional group developed different complications.

--There was no significant difference concerning the satisfaction survey.

The implementation of ERAS for ITF, in particular, has resulted in a considerable reduction in LOS, relief of patient pain, early recovery of patient hip function while effectively preventing complications, and patient satisfaction.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02599-9
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