Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, multimodal approach aiming to improve surgical outcomes. This study compares the length of hospital stay of patients undergoing single-level posterior lumbar arthrodesis and treated with the ERAS protocol with the hospital stay of patients treated according to the standard protocol.
Hundred and ten patients scheduled for single-level posterior lumbar arthrodesis (PLIA) will be randomized to be treated by the standard protocol or the Enhanced Recovery After Surgery (ERAS) protocol. The ERAS protocol differs from the standard protocol in 4 phases: pre-operative counseling and intake, day of surgery, the pre-operative patient preparation, the per-operatively used analgesic and anesthetic drug combination, and the post-operative care consisting of a more intensive physical therapy in the ERAS group. It is the objective the mobilize patients more rapidly without compromising the comfort in terms of pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
110
The patient management is adapted pre-operatively, per-operatively and post-operatively
AZ Nikolaas
Sint-Niklaas, Belgium
RECRUITINGLength of hospital stay
Number of days hospitalization
Time frame: 2-3 days + 11 days
Pain intensity
pain intensity on the day of discharge, measured on a 11-point numeric rating scale
Time frame: day of discharge
Analgesic use, including opioids
type and dose of analgesics used
Time frame: 2-3
11-days readmission rate
patients who return to the hospital for reasons linked to the recovery after surgery
Time frame: discharge + 11 days
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