Enhanced recovery after posterior cervical fusion surgery: A retrospective case series
Enhanced recovery after surgery (ERAS) is a multifaceted strategy, involving all phases of surgical care, intended to mitigate the stress response of surgery and optimize patient outcomes. A growing number of publications have demonstrated the benefits of ERAS protocols in specific populations of sp...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751921000554 |
| _version_ | 1818882299217838080 |
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| author | Kara L. Curley Alexandra E. Richards Nan Zhang Mark K. Lyons Matthew T. Neal |
| author_facet | Kara L. Curley Alexandra E. Richards Nan Zhang Mark K. Lyons Matthew T. Neal |
| author_sort | Kara L. Curley |
| collection | DOAJ |
| description | Enhanced recovery after surgery (ERAS) is a multifaceted strategy, involving all phases of surgical care, intended to mitigate the stress response of surgery and optimize patient outcomes. A growing number of publications have demonstrated the benefits of ERAS protocols in specific populations of spine surgery patients. ERAS protocols have yet to be studied in patients undergoing posterior cervical decompression and fusion (PCDF) surgery. In this study, we compared the length of stay (LOS) and discharge disposition between two groups of patients that had PCDF surgery for degenerative pathologies. The pre-ERAS group consisted of 74 patients that had surgery between 2012 and 2017. The post-ERAS group included 25 patients that had surgery between 2017 and 2019. There were no significant differences between the two groups in terms of age, gender, and diagnosis (p greater than 0.05). The post-ERAS group had statistically non-significant, positive trends for LOS and discharge disposition. Implementation of an ERAS protocol for PCDF patients is feasible, however, future studies are needed to refine ERAS protocols and confirm the benefits. |
| first_indexed | 2024-12-19T15:15:33Z |
| format | Article |
| id | doaj.art-aaa280c6b5e746a79b545f19853d7d9f |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-19T15:15:33Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-aaa280c6b5e746a79b545f19853d7d9f2022-12-21T20:16:09ZengElsevierInterdisciplinary Neurosurgery2214-75192021-09-0125101143Enhanced recovery after posterior cervical fusion surgery: A retrospective case seriesKara L. Curley0Alexandra E. Richards1Nan Zhang2Mark K. Lyons3Matthew T. Neal4Corresponding author.; Mayo Clinic Hospital, 5777 E. Mayo Blvd, Phoenix, AZ, United StatesMayo Clinic Hospital, 5777 E. Mayo Blvd, Phoenix, AZ, United StatesMayo Clinic Hospital, 5777 E. Mayo Blvd, Phoenix, AZ, United StatesMayo Clinic Hospital, 5777 E. Mayo Blvd, Phoenix, AZ, United StatesMayo Clinic Hospital, 5777 E. Mayo Blvd, Phoenix, AZ, United StatesEnhanced recovery after surgery (ERAS) is a multifaceted strategy, involving all phases of surgical care, intended to mitigate the stress response of surgery and optimize patient outcomes. A growing number of publications have demonstrated the benefits of ERAS protocols in specific populations of spine surgery patients. ERAS protocols have yet to be studied in patients undergoing posterior cervical decompression and fusion (PCDF) surgery. In this study, we compared the length of stay (LOS) and discharge disposition between two groups of patients that had PCDF surgery for degenerative pathologies. The pre-ERAS group consisted of 74 patients that had surgery between 2012 and 2017. The post-ERAS group included 25 patients that had surgery between 2017 and 2019. There were no significant differences between the two groups in terms of age, gender, and diagnosis (p greater than 0.05). The post-ERAS group had statistically non-significant, positive trends for LOS and discharge disposition. Implementation of an ERAS protocol for PCDF patients is feasible, however, future studies are needed to refine ERAS protocols and confirm the benefits.http://www.sciencedirect.com/science/article/pii/S2214751921000554Enhanced recovery after surgeryERASPosterior cervical fusionLength of stay |
| spellingShingle | Kara L. Curley Alexandra E. Richards Nan Zhang Mark K. Lyons Matthew T. Neal Enhanced recovery after posterior cervical fusion surgery: A retrospective case series Interdisciplinary Neurosurgery Enhanced recovery after surgery ERAS Posterior cervical fusion Length of stay |
| title | Enhanced recovery after posterior cervical fusion surgery: A retrospective case series |
| title_full | Enhanced recovery after posterior cervical fusion surgery: A retrospective case series |
| title_fullStr | Enhanced recovery after posterior cervical fusion surgery: A retrospective case series |
| title_full_unstemmed | Enhanced recovery after posterior cervical fusion surgery: A retrospective case series |
| title_short | Enhanced recovery after posterior cervical fusion surgery: A retrospective case series |
| title_sort | enhanced recovery after posterior cervical fusion surgery a retrospective case series |
| topic | Enhanced recovery after surgery ERAS Posterior cervical fusion Length of stay |
| url | http://www.sciencedirect.com/science/article/pii/S2214751921000554 |
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