Cervical Spondylosis
Conditions
Keywords
Enhanced Recovery after Surgery, Cervical Spondylosis, Outcome measures
Brief summary
This study is to evaluate the application effect of the concept of accelerated rehabilitation surgery in the perioperative period of patients with cervical spondylosis through a retrospective cohort study
Detailed description
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.
Interventions
PROCEDUREEnhanced recovery after surgery
ERAS management includes 3 parts: (1) Preoperative analgesia and airway evaluation. (2) The protection and reconstruction of the musculo-ligamentous complex during the surgery, the safe intubation, and the local infiltration anesthesia during surgery. (3) Collar free, multimodal analgesia, airway management, and early recovery after surgery.
Sponsors
Peking University Third Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the rehospitalization rate | 90-day follow-up after surgery | the rehospitalization rate of 90 days |
| the ability of daily living | Baseline | The medical history related to the ability of daily living |
| the length of hospital stay | Admission to discharge, an average of 3 days | the length of hospital stay |
| the cost of hospitalization | Admission to discharge, an average of 3 days | the cost of hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| VAS (visual analog scale ) score | Baseline | VAS score of neck and shoulder pain, 0-100 points, higher means worse outcomes |
| NDI (neck disability index) score | Baseline | NDI score, 0-100%, higher means worse outcomes |
| symptoms of neck and shoulder | Baseline | The presence or absence of neck and shoulder pain symptoms |
| neurological function | Baseline | the Japanese Orthopaedic Society Association (JOA) score, 0-17 points, lower means worse outcomes |
Countries
China
Outcome results
None listed