Research status of the enhanced recovery after surgery in the geriatric hip fractures_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XIE Tian ^1,2,3 , MA Binbin ^1,2,3 , LI Yingjuan ^3,4 , ZOU Jihong ^3,4 , QIU Xiaodong ^3,5 , CHEN Hui ^1,2,3 , WANG Chen ^1,2,3 ,  RUI Yunfeng ^1,2,3

1. Department of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;
2. Institute of Traumatic Orthopaedics, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;
3. Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, Southeast University, Nanjing Jiangsu, 210009, P.R.China;
4. Department of Geriatrics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;
5. Department of Anesthesiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;

Corresponding author：

RUI Yunfeng, Email: ruiyunfeng@126.com

Keywords：

Enhanced recovery after surgery; geriatric hip fractures; perioperation; therapy management

DOI：

10.7507/1002-1892.201712083

Video：

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Objective To summarize the latest developments in the enhanced recovery after surgery (ERAS) in the geriatric hip fractures and its perioperative therapy management. Methods The recent original literature on the ERAS in the geriatric hip fractures were extensively reviewed, illustrating the concepts and properties of the ERAS in the geriatric hip fractures. Results It has been considered to be associated with the decreased postoperative morbidity, reduced hospital length of stay, and cost savings to implement ERAS protocols, including multimodal analgesia, inflammation control, intravenous fluid therapy, early mobilization, psychological counseling, and so on, in the perioperative (emergency, preoperative, intraoperative, postoperative) management of the geriatric hip fractures. The application of ERAS in the geriatric hip fractures guarantees the health benefits of patients and saves medical expenses, which also provides basis and guidance for the further development and improvement of the entire process perioperative management in the geriatric hip fractures. Conclusion Significant progress has been made in the application of ERAS in the geriatric hip fractures. ERAS protocols should be a priority for perioperative therapy management in the geriatric hip fractures.

Citation： XIE Tian, MA Binbin, LI Yingjuan, ZOU Jihong, QIU Xiaodong, CHEN Hui, WANG Chen, RUI Yunfeng. Research status of the enhanced recovery after surgery in the geriatric hip fractures. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(8): 1038-1046. doi: 10.7507/1002-1892.201712083 Copy

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1. 黎介寿, 江志伟. 加速康复外科的临床意义不仅仅是缩短住院日. 中华消化外科杂志, 2015, 14(1): 22-24.
2. Slim K. Fast-track surgery: the next revolution in surgical care following laparoscopy. Colorectal Dis, 2011, 13(5): 478-480.
3. Paton F, Chambers D, Wilson P, et al. Effectiveness and implementation of enhanced recovery after surgery programmes: a rapid evidence synthesis. BMJ Open, 2014, 4(7): e005015.
4. Soffin EM, YaDeau JT. Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence. Br J Anaesth, 2016, 117(suppl 3): i62-i72.
5. Aasvang EK, Luna IE, Kehlet H. Challenges in postdischarge function and recovery: the case of fast-track hip and knee arthroplasty. Br J Anaesth, 2015, 115(6): 861-866.
6. Wang J, Wang Y, Liu WD, et al. Hip fractures in Hefei, China: the Hefei osteoporosis project. J Bone Miner Metab, 2014, 32(2): 206-214.
7. Mithal A, Kaur P. Osteoporosis in Asia: a call to action. Curr Osteoporos Rep, 2012, 10(4): 245-247.
8. Jin F, Chung F. Minimizing perioperative adverse events in the elderly. Br J Anaesth, 2001, 87(4): 608-624.
9. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
10. 刘芸. 快速康复外科在骨科围手术期的应用与护理展望. 实用临床护理学电子杂志, 2017, 2(29): 81-82.
11. 周亚斌, 王庆贤. 快速康复理念在老年髋部骨折治疗应用中的研究进展. 中华老年病研究电子杂志, 2016, 3(2): 31-37.
12. Sircar P, Godkar D, Mahgerefteh S, et al. Morbidity and mortality among patients with hip fractures surgically repaired within and after 48 hours. Am J Ther, 2007, 14(6): 508-513.
13. Ho V, Hamilton BH, Roos LL. Multiple approaches to assessing the effects of delays for hip fracture patients in the United States and Canada. Health Serv Res, 2000, 34(7): 1499-1518.
14. Weller I, Wai EK, Jaglal S, et al. The effect of hospital type and surgical delay on mortality after surgery for hip fracture. J Bone Joint Surg (Br), 2005, 87(3): 361-366.
15. Eriksson M, Kelly-Pettersson P, Stark A, et al. ‘Straight to bed’ for hip-fracture patients: a prospective observational cohort study of two fast-track systems in 415 hips. Injury, 2012, 43(12): 2126-2131.
16. 张长青, 张伟. 我国老年髋部骨折绿色通道建设的现实意义. 中华创伤杂志, 2014, 30(3): 196-198.
17. Kosy JD, Blackshaw R, Swart M, et al. Fractured neck of femur patient care improved by simulated fast-track system. J Orthop Traumatol, 2013, 14(3): 165-170.
18. 胡承方, 罗从风, 陈云苏, 等. 髋部骨折术后疼痛管理的随机对照研究. 中国骨与关节损伤杂志, 2012, 27(12): 1065-1068.
19. Arnstein P. Optimizing perioperative pain management. AORN J, 2002, 76(5): 812-818.
20. Moraga AV, Rodriguez-Pascual C. Acurate diagnosis of delirium in elderly patients. Curr Opin Psychiatry, 2007, 20(3): 262-267.
21. Monk TG, Weldon BC, Garvan CW, et al. Predictors of cognitive dysfunction after major noncardiac surgery. Anesthesiology, 2008, 108(1): 18-30.
22. Parvizi J, Miller AG, Gandhi K. Multimodal pain management after total joint arthroplasty. J Bone Joint Surg (Am), 2011, 93(11): 1075-1084.
23. 沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复——围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
24. Tosounidis TH, Sheikh H, Stone MH, et al. Pain relief management following proximal femoral fractures: Options, issues and controversies. Injury, 2015, 46 Suppl 5: S52-S58.
25. Rashid A, Beswick E, Galitzine S, et al. Regional analgesia in the emergency department for hip fractures: survey of current UK practice and its impact on services in a teaching hospital. Emerg Med J, 2014, 31(11): 909-913.
26. Haslam L, Lansdown A, Lee J, et al. Survey of current practices: peripheral nerve block utilization by ED physicians for treatment of pain in the hip fracture patient population. Can Geriatr J, 2013, 16(1): 16-21.
27. 张军, 尤黎明, 周英. 对社区老年人抑郁预测因子的调查分析. 中华护理杂志, 2004, 39(6): 456-458.
28. McDonald S, Page MJ, Beringer K, et al. Preoperative education for hip or knee replacement. Cochrane Database Syst Rev, 2014, (5): CD003526.
29. Kearney M, Jennrich MK, Lyons S, et al. Effects of preoperative education on patient outcomes after joint replacement surgery. Orthop Nurs, 2011, 30(6): 391-396.
30. Fink C, Diener MK, Bruckner T, et al. Impact of preoperative patient education on prevention of postoperative complications after major visceral surgery: study protocol for a randomized controlled trial (PEDUCAT trial). Trials, 2013, 14: 271.
31. Yoon RS, Nellans KW, Geller JA, et al. Patient education before hip or knee arthroplasty lowers length of stay. J Arthroplasty, 2010, 25(4): 547-551.
32. Chevillon C, Hellyar M, Madani C, et al. Preoperative education on postoperative delirium, anxiety, and knowledge in pulmonary thromboendarterectomy patients. Am J Crit Care, 2015, 24(2): 164-171.
33. Ortiz J, Wang S, Elayda MA, et al. Preoperative patient education: can we improve satisfaction and reduce anxiety?. Rev Bras Anestesiol, 2015, 65(1): 7-13.
34. Louw A, Diener I, Butler DS, et al. Preoperative education addressing postoperative pain in total joint arthroplasty: review of content and educational delivery methods. Physiother Theory Pract, 2013, 29(3): 175-194.
35. Ronco M, Iona L, Fabbro C, et al. Patient education outcomes in surgery: a systematic review from 2004 to 2010. Int J Evid Based Healthc, 2012, 10(4): 309-323.
36. Husted H, Lunn TH, Troelsen A, et al. Why still in hospital after fast-track hip and knee arthroplasty? Acta Orthop, 2011, 82(6): 679-684.
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