ERAS on Cervical Surgery
Evaluation of the Effect of Enhanced Recovery After Surgery for Cervical Surgery
調査の概要
詳細な説明
To evaluate the effect of a series of optimization measures in ERAS among the patients during perioperative period who underwent cervical surgery.
Methods:
A retrospective cohort study was conducted for the patients who underwent cervical spine surgery in a top three hospital in Beijing from April to December 2018. According to whether to implement enhanced recovery surgery, the patients were divided into enhanced recovery surgery group (eras group) and control group. The self-designed data collection table was used to collect data in the patient's medical records, including general demographic data and disease treatment data, implementation of accelerated rehabilitation surgery and application effect. Among them, the application effect includes the operation related complications, the visual analog scale (VAS) score of neck and shoulder pain, the ability of daily living after discharge, the length of stay, the cost of hospitalization and other recent rehabilitation effect indicators, as well as the rehospitalization rate of 90 days and the Japanese Orthopaedic Society four months after operation Association (JOA) score, neck disability index (NDI) score, neck and shoulder pain symptoms, neck and shoulder stiffness symptoms and other long-term rehabilitation indicators. Independent sample t-test, rank sum test and chi square test were used to compare the differences between the two groups. On the basis of single factor analysis, combined with multi factor analysis, the impact of groups on outcome indicators was clarified, included 90-day readmission, reexamination time, follow-up JOA score, NDI score, neck and shoulder pain symptoms and neck and shoulder stiffness symptoms.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Beijing
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Beijing、Beijing、中国、100083
- Peking University Third Hospital
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- ① patients with cervical spondylosis were definitely diagnosed; ② Cervical spine surgery was performed under general anesthesia; ③ Age ≥ 18 years old;
Exclusion Criteria:
- ① patients with cervical deformity correction surgery; ② Patients who underwent secondary cervical spine surgery; ③ Patients with spinal cord injury caused by trauma (4) patients with thoracic and atlantoaxial diseases and corresponding surgery; ⑤ Ankylosing spondylitis patients; ⑥ Patients with cerebral infarction, cerebral palsy and nerve root injury.
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
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ERAS Group
Patients were treated by enhanced recovery after surgery
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ERAS 管理には 3 つの部分が含まれます: (1) 術前鎮痛と気道評価。
(2) 手術中の筋靭帯複合体の保護と再建、安全な挿管、および手術中の局所浸潤麻酔。
(3) カラーフリー、マルチモーダル鎮痛、気道管理、手術後の早期回復。
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|
Control Group
Patients were not treated by enhanced recovery after surgery
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
the ability of daily living
時間枠：Baseline
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The medical history related to the ability of daily living
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Baseline
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the ability of daily living
時間枠：90-day follow-up after surgery
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The medical history related to the ability of daily living
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90-day follow-up after surgery
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the length of hospital stay
時間枠：Admission to discharge, an average of 3 days
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the length of hospital stay
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Admission to discharge, an average of 3 days
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the cost of hospitalization
時間枠：Admission to discharge, an average of 3 days
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the cost of hospitalization
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Admission to discharge, an average of 3 days
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the rehospitalization rate
時間枠：90-day follow-up after surgery
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the rehospitalization rate of 90 days
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90-day follow-up after surgery
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
VAS (visual analog scale ) score
時間枠：Baseline
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VAS score of neck and shoulder pain, 0-100 points, higher means worse outcomes
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Baseline
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VAS (visual analog scale ) score
時間枠：90-day follow-up after surgery
|
VAS score of neck and shoulder pain, 0-100 points, higher means worse outcomes
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90-day follow-up after surgery
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NDI (neck disability index) score
時間枠：Baseline
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NDI score, 0-100%, higher means worse outcomes
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Baseline
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NDI (neck disability index) score
時間枠：90-day follow-up after surgery
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NDI score, 0-100%, higher means worse outcomes
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90-day follow-up after surgery
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symptoms of neck and shoulder
時間枠：Baseline
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The presence or absence of neck and shoulder pain symptoms
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Baseline
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symptoms of neck and shoulder
時間枠：90-day follow-up after surgery
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The presence or absence of neck and shoulder pain symptoms
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90-day follow-up after surgery
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symptoms of neck and shoulder
時間枠：Baseline
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The presence or absence of neck and shoulder stiffness symptoms
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Baseline
|
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symptoms of neck and shoulder
時間枠：90-day follow-up after surgery
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The presence or absence of neck and shoulder stiffness symptoms
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90-day follow-up after surgery
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neurological function
時間枠：Baseline
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the Japanese Orthopaedic Society Association (JOA) score, 0-17 points, lower means worse outcomes
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Baseline
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neurological function
時間枠：90-day follow-up after surgery
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the Japanese Orthopaedic Society Association (JOA) score, 0-17 points, lower means worse outcomes
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90-day follow-up after surgery
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- LM2019195
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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