Key result
ERAS protocols reduce the length of hospital stay after total arthroplasty from 4-12 days to 1-3 days without significantly increasing complications.
Why the study?
The study was conducted to comprehensively analyze and evaluate the impact of the ERAS protocol on postoperative results in orthopedic operations and summarize information to draft recommendations for perioperative management.
Does the ERAS protocol improve postoperative results and reduce length of hospital stay in orthopedic patients undergoing hip and knee arthroplasty?
Systematic Review
Does the ERAS protocol improve postoperative results and reduce length of hospital stay in orthopedic patients undergoing hip and knee arthroplasty?
The ERAS protocol improves patient outcomes and reduces hospital length of stay in orthopedic surgery compared to conventional perioperative management.
The purpose of this systematic review is to comprehensively analyze and evaluate the impact of the ERAS protocol for postoperative results in orthopedic operations. Summarize of separate information on specific aspects of the use of ERAS techniques, to create a draft of Ukrainian-language recommendations for optimization of perioperative management ball joints.Materials and methods. The bibliographic search was performed in PubMed and Medline using the keywords «general hip arthroplasty», «orthopedic surgery», «fast-truck», ERAS. The proposed recommendations are based on data from randomized trials and meta-analyzes to investigate various issues in the population of orthopedic patients. Results. The article provides an overview of current data on accelerated rehabilitation methods used in orthopedic surgery. Accelerated rehabilitation techniques can be used to optimize all stages of the patient’s perioperative management and include data on preparation for surgery, maintenance of electrolyte balance, measures to prevent blood loss, prevention of postoperative nausea and vomiting, adequate analgesia, and determine the criteria for safe staging.
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Zenkina et al. (2020) conducted a systematic review in Orthopedic surgery (hip and knee arthroplasty). ERAS (Enhanced Recovery After Surgery) protocol vs. Conventional perioperative management was evaluated on Length of hospital stay and postoperative complications. ERAS protocols reduce the length of hospital stay after total arthroplasty from 4-12 days to 1-3 days without significantly increasing complications.
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