Comparison of Perioperative Outcomes Between Enhanced Recovery After Surgery (ERAS) Protocol and Standard Care in Patients Undergoing Lumbar Spinal Fusion Surgery

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20250730003

Enrollment

Registered

2025-07-30

Start date

2025-07-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Degenerative lumbar spine disease requiring spinal fusion surgery, including conditions such as lumbar spinal stenosis, degenerative disc disease, spondylolisthesis, and other causes of chronic lumbar instability or deformity. Spinal fusion surgery ERAS ERAS protocol Enhanced recovery after surgery Standard care Perioperative outcomes

Interventions

The multidisciplinary ERAS protocol aims to enhance postoperative recovery, reduce complications, shorten hospital stay, and improve overall patient outcomes. The ERAS protocol includes: 1. Preoperati

Experimental Procedure/Surgery,Experimental Procedure/Surgery

Enhanced recovery after surgery (ERAS) protocol ,Standard care

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Patients undergoing elective lumbar spinal fusion 2. Aged 18-65 years 3. ASA classification 1-3

Exclusion criteria

Exclusion criteria: 1. Previous history of spinal infection 2. Previous history of spinal fracture 3. Patients with spinal tumors or congenital spinal abnormalities 4. Patients with chronic kidney disease 3-5 5. Having communication problems and difficulty answering research questions 6. Allergy to drug in protocol

Design outcomes

Primary

Measure	Time frame
Length of stay Postoperative Day 0 to Discharge Measured in days from the day of surgery to the day of discharge.	—

Secondary

Measure	Time frame
Operation time Intraoperative Measured in minutes from skin incision to closure (recorded by surgical team),Intraoperative blood loss Intraoperative Measured in milliliters (mL), based on surgical suction canister volume and gauze weight.,Visual Analog Scale (VAS) Postoperative day 1, day 2, day 3 A 10-cm horizontal line where patients indicate their current level of pain, ranging from 0 (no pain) to 10 (worst imaginable pain),Postoperative opioid consumption Postoperative Day 0 to Discharge Total opioid use converted to morphine equivalent dose (mg), calculated from medication administration records.,Time to mobilization Postoperative Day 0 to Discharge Measured in hours from the end of surgery to the first successful mobilization (sitting, standing, or walking), documented by nursing or physiotherapy staff.,Complication Postoperative Day 0 to Postoperative 3 months Documented clinical complications (e.g., infection, ileus, urinary retention, DVT) recorded from the patient chart and daily progress notes.,30-day readmission Follow-Up at 30 Days Postoperative Percentage of patients readmitted within 30 days post-discharge, verified via hospital records or patient follow-up.,Oswestry Disability Index (ODI) Postoperative 3 months A validated questionnaire assessing disability related to lumbar spine pathology	—

Measure

Time frame

Operation time Intraoperative Measured in minutes from skin incision to closure (recorded by surgical team),Intraoperative blood loss Intraoperative Measured in milliliters (mL), based on surgical suction canister volume and gauze weight.,Visual Analog Scale (VAS) Postoperative day 1, day 2, day 3 A 10-cm horizontal line where patients indicate their current level of pain, ranging from 0 (no pain) to 10 (worst imaginable pain),Postoperative opioid consumption Postoperative Day 0 to Discharge Total opioid use converted to morphine equivalent dose (mg), calculated from medication administration records.,Time to mobilization Postoperative Day 0 to Discharge Measured in hours from the end of surgery to the first successful mobilization (sitting, standing, or walking), documented by nursing or physiotherapy staff.,Complication Postoperative Day 0 to Postoperative 3 months Documented clinical complications (e.g., infection, ileus, urinary retention, DVT) recorded from the patient chart and daily progress notes.,30-day readmission Follow-Up at 30 Days Postoperative Percentage of patients readmitted within 30 days post-discharge, verified via hospital records or patient follow-up.,Oswestry Disability Index (ODI) Postoperative 3 months A validated questionnaire assessing disability related to lumbar spine pathology

—

Countries

Thailand

Contacts

Public ContactNatthason Phusawat

Institute of Orthopaedics, Lerdsin Hospital

natthason.p1996@gmail.com023539844

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026