Key result
Protocolised intraoperative haemodynamic monitoring and goal-directed therapy reduced median hospital stay (7 vs. 10 days) and hypotension duration (8 vs. 40 min) compared to standard management (p < 0.05).
Why the study?
Scoliosis surgery is challenging for safety and requires advanced monitoring technologies, prompting evaluation of protocolised intraoperative haemodynamic monitoring and goal-directed therapy for adolescent idiopathic scoliosis posterior fusion surgery.
Does minimally invasive haemodynamic monitoring and goal-directed therapy improve postoperative outcomes in adolescent idiopathic scoliosis patients undergoing posterior fusion surgery?
Cohort (n=70)
No
Does minimally invasive haemodynamic monitoring and goal-directed therapy improve postoperative outcomes in adolescent idiopathic scoliosis patients undergoing posterior fusion surgery?
Absolute Event Rate: 7% vs 10%
p-value: p=< 0.05
Protocolised intraoperative haemodynamic monitoring and goal-directed therapy significantly improve postoperative outcomes and reduce hospital length of stay in adolescents undergoing spinal fusion surgery.
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May support goal-directed haemodynamic monitoring in paediatric scoliosis surgery; leaves open confirmation by randomised trials.
Miegoń et al. (2023) conducted a cohort in Adolescent idiopathic scoliosis (AIS) (n=70). Protocolised intraoperative haemodynamic monitoring and goal-directed therapy vs. Standard blood pressure management was evaluated on Hospital stay duration (days) (p=< 0.05). Protocolised intraoperative haemodynamic monitoring and goal-directed therapy reduced median hospital stay (7 vs. 10 days) and hypotension duration (8 vs. 40 min) compared to standard management (p < 0.05).
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