How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?

Junfeng Gong,* Liwen Luo,* Huan Liu, Changqing Li, Yu Tang, Yue Zhou Department of Orthopedics, The Second Affiliated Xinqiao Hospital of Army Military Medical University, Chongqing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yue...

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Main Authors: Gong J, Luo L, Liu H, Li C, Tang Y, Zhou Y
Format: Article
Language:English
Published: Dove Medical Press 2021-07-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/how-much-benefit-can-patients-acquire-from-enhanced-recovery-after-sur-peer-reviewed-fulltext-article-IJGM
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spelling doaj-331e763cab8f45cc997771b53831b5a62021-07-04T20:03:22ZengDove Medical PressInternational Journal of General Medicine1178-70742021-07-01Volume 143125313266517How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?Gong JLuo LLiu HLi CTang YZhou YJunfeng Gong,* Liwen Luo,* Huan Liu, Changqing Li, Yu Tang, Yue Zhou Department of Orthopedics, The Second Affiliated Xinqiao Hospital of Army Military Medical University, Chongqing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yue Zhou; Yu TangDepartment of Orthopedics, The Second Affiliated Xinqiao Hospital of Army Military Medical University, Xinqiao Street, Shapingba District, Chongqing, People’s Republic of ChinaTel +86 13908390792; +86 18623422628Fax +86 23-68755012Email happyzhou@vip.163.com; tangyu628@qq.comPurpose: We aimed to explore the role of enhanced recovery after surgery (ERAS) in patients who underwent percutaneous endoscopic lumbar interbody fusion (PELIF).Patients and Methods: We performed a retrospective, observational, cohort study on 91 patients who underwent PELIF for degenerative disc disease. The primary outcomes were postoperative opioid consumption, hospital length of stay (LOS), and hospital cost.Results: Forty-six patients comprised the ERAS group, and 45 patients comprised the pre-ERAS group (control group). The groups had comparable demographic characteristics. Good compliance with the ERAS pathway was observed in the ERAS group. Patients in the ERAS group used significantly fewer morphine equivalents compared with the pre-ERAS group (25.0 vs 33.3, respectively; p = 0.017). Hospital LOS did not decrease significantly in the ERAS group compared with the pre-ERAS group (3.1days vs 3.4 days, respectively; p = 0.096). Likewise, there was no significant difference in hospital cost between the pre-ERAS group and the ERAS group ($10,598.60 vs $10,384.50, respectively; p = 0.468).Conclusion: In the present study, the benefit of ERAS in the context of PELIF was limited. Although a multidisciplinary ERAS protocol can improve analgesia and decrease opioid consumption, no significant reduction in hospital LOS and cost was observed.Keywords: enhanced recovery after surgery, hospital length of stay, opioid use, hospital costs, percutaneous endoscopic spine surgeryhttps://www.dovepress.com/how-much-benefit-can-patients-acquire-from-enhanced-recovery-after-sur-peer-reviewed-fulltext-article-IJGMenhanced recovery after surgeryhospital length of stayopioid usehospital costspercutaneous endoscopic spine surgery
collection DOAJ
language English
format Article
sources DOAJ
author Gong J
Luo L
Liu H
Li C
Tang Y
Zhou Y
spellingShingle Gong J
Luo L
Liu H
Li C
Tang Y
Zhou Y
How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?
International Journal of General Medicine
enhanced recovery after surgery
hospital length of stay
opioid use
hospital costs
percutaneous endoscopic spine surgery
author_facet Gong J
Luo L
Liu H
Li C
Tang Y
Zhou Y
author_sort Gong J
title How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?
title_short How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?
title_full How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?
title_fullStr How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?
title_full_unstemmed How Much Benefit Can Patients Acquire from Enhanced Recovery After Surgery Protocols with Percutaneous Endoscopic Lumbar Interbody Fusion?
title_sort how much benefit can patients acquire from enhanced recovery after surgery protocols with percutaneous endoscopic lumbar interbody fusion?
publisher Dove Medical Press
series International Journal of General Medicine
issn 1178-7074
publishDate 2021-07-01
description Junfeng Gong,* Liwen Luo,* Huan Liu, Changqing Li, Yu Tang, Yue Zhou Department of Orthopedics, The Second Affiliated Xinqiao Hospital of Army Military Medical University, Chongqing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yue Zhou; Yu TangDepartment of Orthopedics, The Second Affiliated Xinqiao Hospital of Army Military Medical University, Xinqiao Street, Shapingba District, Chongqing, People’s Republic of ChinaTel +86 13908390792; +86 18623422628Fax +86 23-68755012Email happyzhou@vip.163.com; tangyu628@qq.comPurpose: We aimed to explore the role of enhanced recovery after surgery (ERAS) in patients who underwent percutaneous endoscopic lumbar interbody fusion (PELIF).Patients and Methods: We performed a retrospective, observational, cohort study on 91 patients who underwent PELIF for degenerative disc disease. The primary outcomes were postoperative opioid consumption, hospital length of stay (LOS), and hospital cost.Results: Forty-six patients comprised the ERAS group, and 45 patients comprised the pre-ERAS group (control group). The groups had comparable demographic characteristics. Good compliance with the ERAS pathway was observed in the ERAS group. Patients in the ERAS group used significantly fewer morphine equivalents compared with the pre-ERAS group (25.0 vs 33.3, respectively; p = 0.017). Hospital LOS did not decrease significantly in the ERAS group compared with the pre-ERAS group (3.1days vs 3.4 days, respectively; p = 0.096). Likewise, there was no significant difference in hospital cost between the pre-ERAS group and the ERAS group ($10,598.60 vs $10,384.50, respectively; p = 0.468).Conclusion: In the present study, the benefit of ERAS in the context of PELIF was limited. Although a multidisciplinary ERAS protocol can improve analgesia and decrease opioid consumption, no significant reduction in hospital LOS and cost was observed.Keywords: enhanced recovery after surgery, hospital length of stay, opioid use, hospital costs, percutaneous endoscopic spine surgery
topic enhanced recovery after surgery
hospital length of stay
opioid use
hospital costs
percutaneous endoscopic spine surgery
url https://www.dovepress.com/how-much-benefit-can-patients-acquire-from-enhanced-recovery-after-sur-peer-reviewed-fulltext-article-IJGM
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