Enhanced recovery after microdiscectomy: reductions in opioid use, length of stay and cost

BMC Surgery

Research

Jiawei Yuan¹  Changqing Li¹  Guanzhong Wang¹  Jiawei Fu¹  Yaqing Zhang¹  Yu Chen¹  Minghui Yang¹  Xue Leng¹  Libangxi Liu¹  Bo Huang¹  Yue Zhou¹  Chencheng Feng¹  Jiang Long¹  Yun Lu² 

[1]Department of Orthopedics Xinqiao Hospital, Army Medical University, 183 Xinqiao Main Street, 400037, Shapingba, Chongqing, People’s Republic of China

[2]Department of Orthopedics Xinqiao Hospital, Army Medical University, 183 Xinqiao Main Street, 400037, Shapingba, Chongqing, People’s Republic of China

[3]Department of Spine surgery, Sixth Affiliated Hospital of Xinjiang Medical University, 39 Wuxing South Road, Tianshan District, 830002, Urumqi, Xinjiang, People’s Republic of China

关键词: Enhanced recovery after surgery;    Microdiscectomy;    Length of stay;    Cost;    Opioid use;   

DOI  :  10.1186/s12893-023-02130-3

 received in 2023-01-12, accepted in 2023-07-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundEnhanced recovery after surgery (ERAS) protocols are widely used worldwide. Recently, studies of the ERAS program in spinal surgery subspecialties have been reported. The aim of this study was to evaluate the impacts of ERAS in minimally invasive microdiscectomy (MD) surgery.MethodsThis was a retrospective cohort study of patients undergoing MD at a single center. From March 2018 to March 2021, 286 patients were in the ERAS group. A total of 140 patients from March 2017 to February 2018 were in the conventional group. The outcomes included length of stay (LOS), the postoperative numeric rating scale (NRS), complications, 30-day readmission rate, 30-day reoperation rate and cost. Moreover, perioperative factors were also evaluated.ResultsCompared with the conventional group, the LOS and cost were reduced in the ERAS group. There were no significant differences in the NRS, complication rate, 30-day readmission or reoperation rates between the groups. Furthermore, postoperative drainage volume, and postoperative opioid use were lower in the ERAS group.ConclusionsThe ERAS protocol for MD surgery reduces LOS, cost and opioid use and accelerates patient recovery.

【 授权许可】

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© BioMed Central Ltd., part of Springer Nature 2023