Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study
Background. The enhanced recovery after surgery (ERAS) program is aimed to shorten patients’ recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture. Me...
Gespeichert in:
| Veröffentlicht in: | Pain Research and Management 2022-06, Vol.2022, p.1-8 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 8 |
|---|---|
| container_issue | |
| container_start_page | 1 |
| container_title | Pain Research and Management |
| container_volume | 2022 |
| creator | Li, Ting Sun, Zhi-Jian Zhou, Yan Sun, Wei-Tong Wang, Peng-Cheng Cai, Xin-Yu Liang, Jun-Bo Dong, Jing-Ming Zhou, Da-Peng Yu, Kai Wu, Ming-Xin He, Jiu-Sheng Wen, Liang-Yuan Yu, Bao-Qing Wang, Jian Yang, Jun Lin, Feng-Fei Li, Bing-Zuan Shi, Zong-Xin Wang, Bao-Jun Wang, Ai-Guo Peng, Gui-Ling Sun, Xu Xiao, Hong-Hao Mi, Meng Zhao, Xia Li, Chang-Run Liu, Gang Li, Shao-Liang Gu, Hang-Yu Zhou, Yuan Tan, Zhe-Lun Wu, Xin-Bao |
| description | Background. The enhanced recovery after surgery (ERAS) program is aimed to shorten patients’ recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture. Methods. This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. According to the perioperative protocol, patients were divided into two groups: the ERAS group and the traditional group. The primary outcome was the patients’ satisfaction of the whole treatment on discharge and at 6 months postoperatively. The secondary outcomes include delapsed time between admission and surgery, length of hospital stay, postoperative complications, functional score, and the MOS item short form health survey-36. Results. Data describing 772 patients with ankle fracture and 658 patients with distal radius fracture were collected, of which 323 patients with ankle fracture and 323 patients with distal radial fracture were included for analysis. The patients in the ERAS group showed higher satisfaction levels on discharge and at 6 months postoperatively than in the traditional group (P |
| doi_str_mv | 10.1155/2022/3458056 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9197648</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A814686053</galeid><doaj_id>oai_doaj_org_article_315f9b811175439cb7dc5b70ca5a9bf9</doaj_id><sourcerecordid>A814686053</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5046-be1c7978878027d9641c2e022a79a6bf6ca303229100cbb3e804df2a22f8754d3</originalsourceid><addsrcrecordid>eNp9kttu1DAQQCMEoqXwxgdYQkJIsK0vcWzzgLQsLVQqoirwbE0cZ9fFay92UtRP4i_xXgRdhFAe4sycObYnU1VPCT4mhPMTiik9YTWXmDf3qkOiiJwQTtn9sqaYTRrR8IPqUc7XGNdEYvawOmBcENIQclj9vLTJxZVNMLgbiy5THKKJHsUeTcM3b9FZAjOMySIIHXrn8gAeXUHnxvwn9Ray7VAM6DQsIJiyvrIm3th0i6AfbEKfxzRffxX9PMHyNZqij6MfnLFhnS7hvLJmc4KZd8GZsskshiFF74stD2N3-7h60IPP9snufVR9PTv9Mvswufj0_nw2vZgYjutm0lpihBJSComp6FRTE0Nt6REIBU3bNwYYZpQqgrFpW2YlrrueAqW9FLzu2FF1vvV2Ea71KrklpFsdwelNIKa5hlSO7q1mhPeqlYSQUsmUaUVneCuwAQ6q7VVxvdm6VmO7tN36ugn8nnQ_E9xCz-ONVkSJppZF8GInSPH7aPOgly4b6z0EG8esaSNkTZkUuKDP_kKv45hCadWGokRhdYeaQ7mAC30s-5q1VE8lqRvZYM4KdfwPqjydXToTg-1die8VPL9TsLDgh0WOfhxcDHkffLUFTfnnOdn-dzMI1ut51ut51rt5LvjLLb5woYMf7v_0L2388p8</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2678219090</pqid></control><display><type>article</type><title>Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Li, Ting ; Sun, Zhi-Jian ; Zhou, Yan ; Sun, Wei-Tong ; Wang, Peng-Cheng ; Cai, Xin-Yu ; Liang, Jun-Bo ; Dong, Jing-Ming ; Zhou, Da-Peng ; Yu, Kai ; Wu, Ming-Xin ; He, Jiu-Sheng ; Wen, Liang-Yuan ; Yu, Bao-Qing ; Wang, Jian ; Yang, Jun ; Lin, Feng-Fei ; Li, Bing-Zuan ; Shi, Zong-Xin ; Wang, Bao-Jun ; Wang, Ai-Guo ; Peng, Gui-Ling ; Sun, Xu ; Xiao, Hong-Hao ; Mi, Meng ; Zhao, Xia ; Li, Chang-Run ; Liu, Gang ; Li, Shao-Liang ; Gu, Hang-Yu ; Zhou, Yuan ; Tan, Zhe-Lun ; Wu, Xin-Bao</creator><contributor>Zou, Jun ; Jun Zou</contributor><creatorcontrib>Li, Ting ; Sun, Zhi-Jian ; Zhou, Yan ; Sun, Wei-Tong ; Wang, Peng-Cheng ; Cai, Xin-Yu ; Liang, Jun-Bo ; Dong, Jing-Ming ; Zhou, Da-Peng ; Yu, Kai ; Wu, Ming-Xin ; He, Jiu-Sheng ; Wen, Liang-Yuan ; Yu, Bao-Qing ; Wang, Jian ; Yang, Jun ; Lin, Feng-Fei ; Li, Bing-Zuan ; Shi, Zong-Xin ; Wang, Bao-Jun ; Wang, Ai-Guo ; Peng, Gui-Ling ; Sun, Xu ; Xiao, Hong-Hao ; Mi, Meng ; Zhao, Xia ; Li, Chang-Run ; Liu, Gang ; Li, Shao-Liang ; Gu, Hang-Yu ; Zhou, Yuan ; Tan, Zhe-Lun ; Wu, Xin-Bao ; Zou, Jun ; Jun Zou</creatorcontrib><description>Background. The enhanced recovery after surgery (ERAS) program is aimed to shorten patients’ recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture. Methods. This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. According to the perioperative protocol, patients were divided into two groups: the ERAS group and the traditional group. The primary outcome was the patients’ satisfaction of the whole treatment on discharge and at 6 months postoperatively. The secondary outcomes include delapsed time between admission and surgery, length of hospital stay, postoperative complications, functional score, and the MOS item short form health survey-36. Results. Data describing 772 patients with ankle fracture and 658 patients with distal radius fracture were collected, of which 323 patients with ankle fracture and 323 patients with distal radial fracture were included for analysis. The patients in the ERAS group showed higher satisfaction levels on discharge and at 6 months postoperatively than in the traditional group (P<0.001). In the subgroup analysis, patients with distal radial fracture in the ERAS group were more satisfied with the treatment (P=0.001). Furthermore, patients with ankle fracture had less time in bed (P<0.001) and shorter hospital stay (P<0.001) and patients with distal radial fracture received surgery quickly after being admitted into the ward in the ERAS group than in the traditional group (P=0.001). Conclusions. Perioperative protocol based on the ERAS program was associated with high satisfaction levels, less time in bed, and short hospital stay without increased complication rate and decreased functional outcomes.</description><identifier>ISSN: 1203-6765</identifier><identifier>EISSN: 1918-1523</identifier><identifier>DOI: 10.1155/2022/3458056</identifier><identifier>PMID: 35711611</identifier><language>eng</language><publisher>Oakville: Hindawi</publisher><subject>Ankle ; Body mass index ; Care and treatment ; Fractures ; Gastrointestinal surgery ; Hospitals ; Internal fixation in fractures ; Intubation ; Length of stay ; Management ; Narcotics ; Nonsteroidal anti-inflammatory drugs ; Orthopedics ; Pain management ; Patient outcomes ; Patients ; Postoperative period ; Recovery (Medical) ; Regional anesthesia ; Statistical analysis ; Time management</subject><ispartof>Pain Research and Management, 2022-06, Vol.2022, p.1-8</ispartof><rights>Copyright © 2022 Ting Li et al.</rights><rights>COPYRIGHT 2022 John Wiley & Sons, Inc.</rights><rights>Copyright © 2022 Ting Li et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Ting Li et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5046-be1c7978878027d9641c2e022a79a6bf6ca303229100cbb3e804df2a22f8754d3</citedby><cites>FETCH-LOGICAL-c5046-be1c7978878027d9641c2e022a79a6bf6ca303229100cbb3e804df2a22f8754d3</cites><orcidid>0000-0001-5883-6132</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197648/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197648/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,878,886,27929,27930,53796,53798</link.rule.ids></links><search><contributor>Zou, Jun</contributor><contributor>Jun Zou</contributor><creatorcontrib>Li, Ting</creatorcontrib><creatorcontrib>Sun, Zhi-Jian</creatorcontrib><creatorcontrib>Zhou, Yan</creatorcontrib><creatorcontrib>Sun, Wei-Tong</creatorcontrib><creatorcontrib>Wang, Peng-Cheng</creatorcontrib><creatorcontrib>Cai, Xin-Yu</creatorcontrib><creatorcontrib>Liang, Jun-Bo</creatorcontrib><creatorcontrib>Dong, Jing-Ming</creatorcontrib><creatorcontrib>Zhou, Da-Peng</creatorcontrib><creatorcontrib>Yu, Kai</creatorcontrib><creatorcontrib>Wu, Ming-Xin</creatorcontrib><creatorcontrib>He, Jiu-Sheng</creatorcontrib><creatorcontrib>Wen, Liang-Yuan</creatorcontrib><creatorcontrib>Yu, Bao-Qing</creatorcontrib><creatorcontrib>Wang, Jian</creatorcontrib><creatorcontrib>Yang, Jun</creatorcontrib><creatorcontrib>Lin, Feng-Fei</creatorcontrib><creatorcontrib>Li, Bing-Zuan</creatorcontrib><creatorcontrib>Shi, Zong-Xin</creatorcontrib><creatorcontrib>Wang, Bao-Jun</creatorcontrib><creatorcontrib>Wang, Ai-Guo</creatorcontrib><creatorcontrib>Peng, Gui-Ling</creatorcontrib><creatorcontrib>Sun, Xu</creatorcontrib><creatorcontrib>Xiao, Hong-Hao</creatorcontrib><creatorcontrib>Mi, Meng</creatorcontrib><creatorcontrib>Zhao, Xia</creatorcontrib><creatorcontrib>Li, Chang-Run</creatorcontrib><creatorcontrib>Liu, Gang</creatorcontrib><creatorcontrib>Li, Shao-Liang</creatorcontrib><creatorcontrib>Gu, Hang-Yu</creatorcontrib><creatorcontrib>Zhou, Yuan</creatorcontrib><creatorcontrib>Tan, Zhe-Lun</creatorcontrib><creatorcontrib>Wu, Xin-Bao</creatorcontrib><title>Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study</title><title>Pain Research and Management</title><description>Background. The enhanced recovery after surgery (ERAS) program is aimed to shorten patients’ recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture. Methods. This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. According to the perioperative protocol, patients were divided into two groups: the ERAS group and the traditional group. The primary outcome was the patients’ satisfaction of the whole treatment on discharge and at 6 months postoperatively. The secondary outcomes include delapsed time between admission and surgery, length of hospital stay, postoperative complications, functional score, and the MOS item short form health survey-36. Results. Data describing 772 patients with ankle fracture and 658 patients with distal radius fracture were collected, of which 323 patients with ankle fracture and 323 patients with distal radial fracture were included for analysis. The patients in the ERAS group showed higher satisfaction levels on discharge and at 6 months postoperatively than in the traditional group (P<0.001). In the subgroup analysis, patients with distal radial fracture in the ERAS group were more satisfied with the treatment (P=0.001). Furthermore, patients with ankle fracture had less time in bed (P<0.001) and shorter hospital stay (P<0.001) and patients with distal radial fracture received surgery quickly after being admitted into the ward in the ERAS group than in the traditional group (P=0.001). Conclusions. Perioperative protocol based on the ERAS program was associated with high satisfaction levels, less time in bed, and short hospital stay without increased complication rate and decreased functional outcomes.</description><subject>Ankle</subject><subject>Body mass index</subject><subject>Care and treatment</subject><subject>Fractures</subject><subject>Gastrointestinal surgery</subject><subject>Hospitals</subject><subject>Internal fixation in fractures</subject><subject>Intubation</subject><subject>Length of stay</subject><subject>Management</subject><subject>Narcotics</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Orthopedics</subject><subject>Pain management</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Postoperative period</subject><subject>Recovery (Medical)</subject><subject>Regional anesthesia</subject><subject>Statistical analysis</subject><subject>Time management</subject><issn>1203-6765</issn><issn>1918-1523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNp9kttu1DAQQCMEoqXwxgdYQkJIsK0vcWzzgLQsLVQqoirwbE0cZ9fFay92UtRP4i_xXgRdhFAe4sycObYnU1VPCT4mhPMTiik9YTWXmDf3qkOiiJwQTtn9sqaYTRrR8IPqUc7XGNdEYvawOmBcENIQclj9vLTJxZVNMLgbiy5THKKJHsUeTcM3b9FZAjOMySIIHXrn8gAeXUHnxvwn9Ray7VAM6DQsIJiyvrIm3th0i6AfbEKfxzRffxX9PMHyNZqij6MfnLFhnS7hvLJmc4KZd8GZsskshiFF74stD2N3-7h60IPP9snufVR9PTv9Mvswufj0_nw2vZgYjutm0lpihBJSComp6FRTE0Nt6REIBU3bNwYYZpQqgrFpW2YlrrueAqW9FLzu2FF1vvV2Ea71KrklpFsdwelNIKa5hlSO7q1mhPeqlYSQUsmUaUVneCuwAQ6q7VVxvdm6VmO7tN36ugn8nnQ_E9xCz-ONVkSJppZF8GInSPH7aPOgly4b6z0EG8esaSNkTZkUuKDP_kKv45hCadWGokRhdYeaQ7mAC30s-5q1VE8lqRvZYM4KdfwPqjydXToTg-1die8VPL9TsLDgh0WOfhxcDHkffLUFTfnnOdn-dzMI1ut51ut51rt5LvjLLb5woYMf7v_0L2388p8</recordid><startdate>20220607</startdate><enddate>20220607</enddate><creator>Li, Ting</creator><creator>Sun, Zhi-Jian</creator><creator>Zhou, Yan</creator><creator>Sun, Wei-Tong</creator><creator>Wang, Peng-Cheng</creator><creator>Cai, Xin-Yu</creator><creator>Liang, Jun-Bo</creator><creator>Dong, Jing-Ming</creator><creator>Zhou, Da-Peng</creator><creator>Yu, Kai</creator><creator>Wu, Ming-Xin</creator><creator>He, Jiu-Sheng</creator><creator>Wen, Liang-Yuan</creator><creator>Yu, Bao-Qing</creator><creator>Wang, Jian</creator><creator>Yang, Jun</creator><creator>Lin, Feng-Fei</creator><creator>Li, Bing-Zuan</creator><creator>Shi, Zong-Xin</creator><creator>Wang, Bao-Jun</creator><creator>Wang, Ai-Guo</creator><creator>Peng, Gui-Ling</creator><creator>Sun, Xu</creator><creator>Xiao, Hong-Hao</creator><creator>Mi, Meng</creator><creator>Zhao, Xia</creator><creator>Li, Chang-Run</creator><creator>Liu, Gang</creator><creator>Li, Shao-Liang</creator><creator>Gu, Hang-Yu</creator><creator>Zhou, Yuan</creator><creator>Tan, Zhe-Lun</creator><creator>Wu, Xin-Bao</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5883-6132</orcidid></search><sort><creationdate>20220607</creationdate><title>Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study</title><author>Li, Ting ; Sun, Zhi-Jian ; Zhou, Yan ; Sun, Wei-Tong ; Wang, Peng-Cheng ; Cai, Xin-Yu ; Liang, Jun-Bo ; Dong, Jing-Ming ; Zhou, Da-Peng ; Yu, Kai ; Wu, Ming-Xin ; He, Jiu-Sheng ; Wen, Liang-Yuan ; Yu, Bao-Qing ; Wang, Jian ; Yang, Jun ; Lin, Feng-Fei ; Li, Bing-Zuan ; Shi, Zong-Xin ; Wang, Bao-Jun ; Wang, Ai-Guo ; Peng, Gui-Ling ; Sun, Xu ; Xiao, Hong-Hao ; Mi, Meng ; Zhao, Xia ; Li, Chang-Run ; Liu, Gang ; Li, Shao-Liang ; Gu, Hang-Yu ; Zhou, Yuan ; Tan, Zhe-Lun ; Wu, Xin-Bao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5046-be1c7978878027d9641c2e022a79a6bf6ca303229100cbb3e804df2a22f8754d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ankle</topic><topic>Body mass index</topic><topic>Care and treatment</topic><topic>Fractures</topic><topic>Gastrointestinal surgery</topic><topic>Hospitals</topic><topic>Internal fixation in fractures</topic><topic>Intubation</topic><topic>Length of stay</topic><topic>Management</topic><topic>Narcotics</topic><topic>Nonsteroidal anti-inflammatory drugs</topic><topic>Orthopedics</topic><topic>Pain management</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Postoperative period</topic><topic>Recovery (Medical)</topic><topic>Regional anesthesia</topic><topic>Statistical analysis</topic><topic>Time management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Ting</creatorcontrib><creatorcontrib>Sun, Zhi-Jian</creatorcontrib><creatorcontrib>Zhou, Yan</creatorcontrib><creatorcontrib>Sun, Wei-Tong</creatorcontrib><creatorcontrib>Wang, Peng-Cheng</creatorcontrib><creatorcontrib>Cai, Xin-Yu</creatorcontrib><creatorcontrib>Liang, Jun-Bo</creatorcontrib><creatorcontrib>Dong, Jing-Ming</creatorcontrib><creatorcontrib>Zhou, Da-Peng</creatorcontrib><creatorcontrib>Yu, Kai</creatorcontrib><creatorcontrib>Wu, Ming-Xin</creatorcontrib><creatorcontrib>He, Jiu-Sheng</creatorcontrib><creatorcontrib>Wen, Liang-Yuan</creatorcontrib><creatorcontrib>Yu, Bao-Qing</creatorcontrib><creatorcontrib>Wang, Jian</creatorcontrib><creatorcontrib>Yang, Jun</creatorcontrib><creatorcontrib>Lin, Feng-Fei</creatorcontrib><creatorcontrib>Li, Bing-Zuan</creatorcontrib><creatorcontrib>Shi, Zong-Xin</creatorcontrib><creatorcontrib>Wang, Bao-Jun</creatorcontrib><creatorcontrib>Wang, Ai-Guo</creatorcontrib><creatorcontrib>Peng, Gui-Ling</creatorcontrib><creatorcontrib>Sun, Xu</creatorcontrib><creatorcontrib>Xiao, Hong-Hao</creatorcontrib><creatorcontrib>Mi, Meng</creatorcontrib><creatorcontrib>Zhao, Xia</creatorcontrib><creatorcontrib>Li, Chang-Run</creatorcontrib><creatorcontrib>Liu, Gang</creatorcontrib><creatorcontrib>Li, Shao-Liang</creatorcontrib><creatorcontrib>Gu, Hang-Yu</creatorcontrib><creatorcontrib>Zhou, Yuan</creatorcontrib><creatorcontrib>Tan, Zhe-Lun</creatorcontrib><creatorcontrib>Wu, Xin-Bao</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>CBCA Reference & Current Events</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Pain Research and Management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Ting</au><au>Sun, Zhi-Jian</au><au>Zhou, Yan</au><au>Sun, Wei-Tong</au><au>Wang, Peng-Cheng</au><au>Cai, Xin-Yu</au><au>Liang, Jun-Bo</au><au>Dong, Jing-Ming</au><au>Zhou, Da-Peng</au><au>Yu, Kai</au><au>Wu, Ming-Xin</au><au>He, Jiu-Sheng</au><au>Wen, Liang-Yuan</au><au>Yu, Bao-Qing</au><au>Wang, Jian</au><au>Yang, Jun</au><au>Lin, Feng-Fei</au><au>Li, Bing-Zuan</au><au>Shi, Zong-Xin</au><au>Wang, Bao-Jun</au><au>Wang, Ai-Guo</au><au>Peng, Gui-Ling</au><au>Sun, Xu</au><au>Xiao, Hong-Hao</au><au>Mi, Meng</au><au>Zhao, Xia</au><au>Li, Chang-Run</au><au>Liu, Gang</au><au>Li, Shao-Liang</au><au>Gu, Hang-Yu</au><au>Zhou, Yuan</au><au>Tan, Zhe-Lun</au><au>Wu, Xin-Bao</au><au>Zou, Jun</au><au>Jun Zou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study</atitle><jtitle>Pain Research and Management</jtitle><date>2022-06-07</date><risdate>2022</risdate><volume>2022</volume><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1203-6765</issn><eissn>1918-1523</eissn><abstract>Background. The enhanced recovery after surgery (ERAS) program is aimed to shorten patients’ recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture. Methods. This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. According to the perioperative protocol, patients were divided into two groups: the ERAS group and the traditional group. The primary outcome was the patients’ satisfaction of the whole treatment on discharge and at 6 months postoperatively. The secondary outcomes include delapsed time between admission and surgery, length of hospital stay, postoperative complications, functional score, and the MOS item short form health survey-36. Results. Data describing 772 patients with ankle fracture and 658 patients with distal radius fracture were collected, of which 323 patients with ankle fracture and 323 patients with distal radial fracture were included for analysis. The patients in the ERAS group showed higher satisfaction levels on discharge and at 6 months postoperatively than in the traditional group (P<0.001). In the subgroup analysis, patients with distal radial fracture in the ERAS group were more satisfied with the treatment (P=0.001). Furthermore, patients with ankle fracture had less time in bed (P<0.001) and shorter hospital stay (P<0.001) and patients with distal radial fracture received surgery quickly after being admitted into the ward in the ERAS group than in the traditional group (P=0.001). Conclusions. Perioperative protocol based on the ERAS program was associated with high satisfaction levels, less time in bed, and short hospital stay without increased complication rate and decreased functional outcomes.</abstract><cop>Oakville</cop><pub>Hindawi</pub><pmid>35711611</pmid><doi>10.1155/2022/3458056</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5883-6132</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1203-6765 |
| ispartof | Pain Research and Management, 2022-06, Vol.2022, p.1-8 |
| issn | 1203-6765 1918-1523 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9197648 |
| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection); PubMed Central; Alma/SFX Local Collection |
| subjects | Ankle Body mass index Care and treatment Fractures Gastrointestinal surgery Hospitals Internal fixation in fractures Intubation Length of stay Management Narcotics Nonsteroidal anti-inflammatory drugs Orthopedics Pain management Patient outcomes Patients Postoperative period Recovery (Medical) Regional anesthesia Statistical analysis Time management |
| title | Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-16T10%3A35%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perioperative%20Protocol%20of%20Ankle%20Fracture%20and%20Distal%20Radius%20Fracture%20Based%20on%20Enhanced%20Recovery%20after%20Surgery%20Program:%20A%20Multicenter%20Prospective%20Clinical%20Controlled%20study&rft.jtitle=Pain%20Research%20and%20Management&rft.au=Li,%20Ting&rft.date=2022-06-07&rft.volume=2022&rft.spage=1&rft.epage=8&rft.pages=1-8&rft.issn=1203-6765&rft.eissn=1918-1523&rft_id=info:doi/10.1155/2022/3458056&rft_dat=%3Cgale_doaj_%3EA814686053%3C/gale_doaj_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2678219090&rft_id=info:pmid/35711611&rft_galeid=A814686053&rft_doaj_id=oai_doaj_org_article_315f9b811175439cb7dc5b70ca5a9bf9&rfr_iscdi=true |