elective neurosurgery (including craniotomy, endoscopic transsphenoidal surgery, and spine surgery)
Conditions
Interventions
EPC (enhanced patient comfort) group:Perioperative EPC protocol for elective neurosurgery
Control group:Conventional perioperative care for elective neurosurgery
Sponsors
Xi'an International Medical Center
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1) Aged 18-80 years; 2) indications for elective neurosurgery including craniotomy, endoscopic transsphenoidal surgery, and spine surgery; 3) informed consent obtained from the patient or his/her legally authorized representative.
Exclusion criteria
Exclusion criteria: 1) Patients with intracranial or spinal trauma, pathology requiring emergent surgery; 2) Preoperative disturbance of consciousness; 3) Significant cognitive impairment who were unable to cooperate; 4) A confounding condition (e.g., pregnancy) or disease that could potentially impact postoperative recovery (e.g., wheelchair-bound or bed-ridden prior to surgery, autoimmune diseases, myocardial infarction, severe infection, liver and renal malfunction, or severe psychological disorder).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient satisfaction and comfort; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain;Postoperative nausea and vomiting;Karnofsky performance status (KPS) score;Quality of Recovery-15 (QoR-15) score;Postoperative hospital length of stay (LOS);Hospital length of stay (LOS);Reoperation rates;Readmission rates;Overall medical cost;Patient experience in participating the EPC program;Postoperative morbidity;Postoperative mortality;Health-related quality of life; | — |
Countries
China
Contacts
Public ContactShiming He
Xi'an International Medical Center
Outcome results
None listed