Compliance with enhanced recovery after surgery protocol in geriatric patients with fresh fracture
10.3760/cma.j.cn115530-20220429-00234
- VernacularTitle:老年新鲜骨折患者加速康复外科理念实施的依从性分析
- Author:
Zhijian SUN
1
;
Xu SUN
;
Meng MI
;
Honghao XIAO
;
Han FEI
;
Guiling PENG
;
Chunling ZHANG
;
Yao JIANG
;
Yan ZHOU
;
Ting LI
;
Maoqi GONG
;
Xinbao WU
Author Information
1. 北京积水潭医院创伤骨科，北京 100035
- Keywords:
Patient compliance;
Fractures, bone;
Aged;
Enhanced recovery after surgery
- From:
Chinese Journal of Orthopaedic Trauma
2023;25(1):58-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the compliance with enhanced recovery after surgery (ERAS) protocol in geriatric patients with fresh fracture.Methods:A retrospective study was conducted on the data of the patients with fresh extremity fracture which had been included in the ERAS perioperative protocol database during May 2019 and January 2022 at Department of Orthopaedic Trauma, Beijing Jishuitan Hospital. The patients ≥65 years were selected as a study group which was matched by a control group of the patients < 65 years in sex, fracture type and date frame of hospitalization at a ratio of 1∶1. The 2 groups were compared in the compliance with the 14 ERAS core perioperative elements.Results:The study group and the control group each included 66 patients who were matched in sex and fracture type. 62.1% (41/66) of the patients in the study group had combined diseases, significantly more than that [16.7% (11/66)] in the control group( P<0.001). Altogether, the compliance with the 14 ERAS core perioperative elements was 78.6 (71.4, 85.7) % in both groups, showing no significant difference between them ( P>0.05). Respectively, the compliance with the postoperative oral intake in the study group (80.3%, 53/66) was significantly lower than that in the control group (92.4%, 61/66) ( P<0.05); the compliance with the other 13 elements showed no statistically significant difference between the 2 groups ( P>0.05). Conclusion:The ERAS perioperative protocol can be carried out smoothly in geriatric patients with fresh fracture whose compliance may be comparable to that of the none-elderly patients.
