Key result
Implementation of a comprehensive ERAS protocol for spine surgery significantly reduced the incidence of surgical site infections from 4.12% to 2.00% (RR 0.48).
Why the study?
Spine surgery ERAS protocols have been limited in scope, focusing only on specific types of procedures or specific parts of the surgical episode.
Cohort (n=1,770)
No
Relative Risk: 0.48 (95% CI 0.27–0.86)
Absolute Event Rate: 2% vs 4.12%
p-value: p=0.01
Describes the development of a comprehensive, complexity-tailored ERAS protocol for spine surgery at the Cleveland Clinic.
Comprehensive spine ERAS protocol implemented; leaves open whether outcomes improve in routine practice.
Enhanced recovery after surgery (ERAS) protocols have been shown to be effective at reducing perioperative morbidity and costs while improving outcomes. To date, spine surgery protocols have been limited in scope, focusing only on specific types of procedures or specific parts of the surgical episode. The authors describe the creation and implementation of one of the first comprehensive ERAS protocols for spine surgery. The protocol is unique in that it has a comprehensive perioperative paradigm encompassing the entire surgical period that is tailored based on the complexity of each individual spine patient.
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Chakravarthy et al. (2019) conducted a cohort in Spine surgery (n=1,770). Enhanced recovery after surgery (ERAS) protocol vs. Pre-intervention standard care was evaluated on Incidence of surgical site infection (SSI) (RR 0.48, 95% CI 0.27-0.86, p=0.01). Implementation of a comprehensive ERAS protocol for spine surgery significantly reduced the incidence of surgical site infections from 4.12% to 2.00% (RR 0.48).
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