ASSESSMENT OF PAIN, LENGTH OF HOSPITAL STAYS AND COMPLICATIONS RATE OF HIP REPLACEMENT PATIENTS APPLIED ERAS PROGRAM AT THE ORTHOPEDIC DEPARTMENT
Main Article Content
Abstract
Background: The ERAS (Enhanced Recovery After Surgery) program provides comprehensive care for patients in the pre-operative, intra-operative and post-operative stages to reduce length of hospital stays, improve treatment quality, reduce costs and reduce complication rates for patients. Objectives: Evaluation of pain level according to pain scale VAS (Visual Analog Scale), length of hospital stays and complications rate of hip replacement surgery patients applied ERAS program. Methods: Descriptive research design. Data collection period is from December 2021 to December 2022 at the Department of Orthopaedics – University Medical Center, Ho Chi Minh City. Results: VAS pain score pre-operative: 3.52 ± 0.97and VAS at the time of hospital discharge: 2.91±0.63 (P<0.01). The mean hospital stay was 7.14±2.89 days. The rate of general complications of patients after hip replacement surgery was 3.3%. Conclusions: The ERAS program being applied in the department initially showed a statistically significant decrease in VAS pain score after hip replacement surgery compared to before surgery.
Article Details
Keywords
ERAS, Enhanced Recovery After Surgery, Hip Replacement
References
2. Christelis N, Wallace S, Sage CE, et al. An enhanced recovery after surgery program for hip and knee arthroplasty. Med J Aust. 2015;202(7):363-368.
3. Frassanito L, Vergari A, Nestorini R, et al. Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg. 2020;104(1):87-92.
4. Gwynne-Jones DP, Martin G, Crane C. Enhanced Recovery After Surgery for Hip and Knee Replacements. Orthop Nurs. 2017;36(3):203-210.
5. Kehlet H, Memtsoudis SG. ERAS guidelines for hip and knee replacement - need for reanalysis of evidence and recommendations? Acta Orthop. 2020 Jun;91(3):243-245.
6. Stowers MD, Manuopangai L, Hill AG, Gray JR, Coleman B, Munro JT. Enhanced Recovery After Surgery in elective hip and knee arthroplasty reduces length of hospital stay. ANZ J Surg. 2016;86(6):475-479.
7. Soffin EM, YaDeau JT. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence. Br J Anaesth. 2016;117(3):62-72.
8. Zhu S., Qian W., Jiang C., và cs. Enhanced recovery after surgery for hip and knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J. 2017;93(1106), 736-742.