Complication of Surgical Procedure, Complication,Postoperative, ERAS, Scoliosis, Scoliosis Idiopathic, Scoliosis; Juvenile
Conditions
Brief summary
The aim of this study is to compare the outcomes after scoliosis surgery before and after the implementation of an interdisciplinary juvenile scoliosis correction program in teenager based on ERAS (enhanced recovery after surgery) principles.
Detailed description
Creating an optimal protocol for interdisciplinary care in the perioperative period in terms of therapeutic management (anesthesia and surgery schedule), as well as care, rehabilitation and ensuring mental well-being determines the real impact on the reduction of the risk of complications in the perioperative period. Enhanced recovery after surgery (ERAS) protocol has been found to result in reduced lenght of stay and complications in adult patients. Data in pediatric population remains modest. In addition to ERAS principles our terapeutic team has created a special educational application for better patient preparation for surgery. The purpose of the application is to explain the general rules of conduct in the process of preparing and carrying out surgery, anesthesia, prehabilitation and physiotherapy in children undergoing orthopedics surgery (e.g. spine surgery for adolescent idiopathic scoliosis). Hypothesis: Implementing an interdisciplinary juvenile scoliosis correction program based on ERAS principles and special educational app. will improve patient outcomes leading to a statistically significant reduction in post-operative pain and opioids demand, complication rate, length of stay without increasing readmissions and cost.
Interventions
None listed
Sponsors
Pomeranian Medical University Szczecin
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* patient with age \< 18 years * patient scheduled for idiopatic scoliosis surgery
Exclusion criteria
* patient with age \> 18years others type of scoliosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| type of complications | up to 4 weeks after surgery | surgery and anaesthesia complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative length of hospital stay | up to 4 weeks after surgery | Postoperative length of hospital stay |
| Number of Analgetics consumption | up to 6 days after surgery | consumption including opioids and non-opioids drug |
| Time to first bowel motion | up to 6 days after surgery | Able to eat without abdominal discomfort, nausea, or vomiting |
| Time to first verticalization | up to 6 days after surgery | — |
Countries
Poland
Contacts
Primary ContactJowita Biernawska, MD PhD
Outcome results
None listed