The implementation of enhanced recovery after surgery (ERAS) in complex spinal surgery

Michelle Angus, Kelly Jackson, Glyn Smurthwaite, Roberto Carrasco, Saeed Mohammad, Rajat Verma, Irfan Siddique, Michelle Angus, Kelly Jackson, Glyn Smurthwaite, Roberto Carrasco, Saeed Mohammad, Rajat Verma, Irfan Siddique

Abstract

Background: This paper aims to review the introduction of an enhanced recovery after surgery (ERAS) service within complex spinal surgery, with an aim to assess if this is a cost effective way to improve the overall experience of such complex surgery.

Methods: The ERAS model was defined and followed within a regional centre for complex spinal surgery in the UK. Outcomes such as length of stay (LOS) and satisfaction were measured before and after implementation of the service.

Results: LOS was reduced and both patient and staff satisfaction improved following the implementation of the ERAS service.

Conclusions: The ERAS model can successfully be implemented within complex spinal surgery, to help improve satisfaction and reduce cost.

Keywords: Enhanced recovery after surgery (ERAS); cost efficiency; degenerative scoliosis; multi-level fixation; patient satisfaction.

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The importance of the productive waiting time.
Figure 2
Figure 2
Patient satisfaction pre ERAS. ERAS, enhanced recovery after surgery.
Figure 3
Figure 3
Patient satisfaction post ERAS. ERAS, enhanced recovery after surgery.
Figure 4
Figure 4
Posterior spinal instrumented fusion for degenerative scoliosis >30 years length of stay.
Figure 5
Figure 5
30-day readmission as percentage of total admissions.
Figure 6
Figure 6
The impact of the spinal ERAS service on staff and patients. ERAS, enhanced recovery after surgery.
Figure S1
Figure S1
Patient comments.

Source: PubMed

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