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Enhanced Recovery After Surgery: Concepts and Application to Total Shoulder Replacement.
- Source :
- Orthopaedic Nursing; Nov/Dec2019, Vol. 38 Issue 6, p375-380, 6p
- Publication Year :
- 2019
-
Abstract
- BACKGROUND: Enhanced Recovery After Surgery (ERAS) focuses on optimizing each element on a treatment pathway and encouraging the patient to actively engage in his or her recovery and rehabilitation. It requires collaboration across a multidisciplinary team and has been successful in improving patient outcomes, length of stay (LOS), and costs for a wide range of surgical procedures, including musculoskeletal surgeries such as total hip and total knee replacement. PURPOSE: To examine the application of ERAS concepts to total shoulder replacement (TSR) surgery. METHODS: Hospital Episode Statistics (HES) in England on LOS for TSR surgery were examined, and a review of literature on the use of ERAS concepts in TSR was undertaken. RESULTS: Analysis of HES data suggested scope for improvement in reducing LOS. A review of the literature found some evidence of the use of ERAS concepts, particularly in multimodal pain management. CONCLUSIONS: Future research is now required for ERAS procedure-specific components for TSR surgery. [ABSTRACT FROM AUTHOR]
- Subjects :
- ARTHROPLASTY
CONVALESCENCE
HEALTH care teams
LENGTH of stay in hospitals
INSULIN resistance
INTERPROFESSIONAL relations
MATHEMATICAL models
EVALUATION of medical care
MEDICAL records
SHOULDER surgery
PAIN management
THEORY
DESCRIPTIVE statistics
PERIOPERATIVE care
ACQUISITION of data methodology
Subjects
Details
- Language :
- English
- ISSN :
- 07446020
- Volume :
- 38
- Issue :
- 6
- Database :
- Supplemental Index
- Journal :
- Orthopaedic Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 139888458
- Full Text :
- https://doi.org/10.1097/NOR.0000000000000609