Application effectiveness analysis of multidisciplinary collaboration within the Enhanced Recovery After Surgery concept in elderly patients undergoing hip fracture surgery

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-07-02 DOI:10.1111/ggi.70106

Chao Duan, Guoliang Che, Lin Yang, Zhengzhi Liu, Yi Wang

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引用次数: 0

Abstract

Aim

Hip fractures in the elderly pose significant health challenges, with high rates of morbidity and mortality. Enhanced Recovery After Surgery (ERAS) protocols offer a multidisciplinary approach, potentially improving outcomes in this demographic. Prior studies have examined ERAS in hip fractures, but important questions remain about how a well-organized team benefits perioperative management. This study assesses the effectiveness of ERAS in comparison to conventional surgical approaches for elderly patients with hip fracture.

Methods

A retrospective cohort study was conducted involving 203 patients aged 60–85 who underwent hip fracture surgery between January 2022 and January 2024. Patients were divided into a conventional group (n = 103) and an ERAS multidisciplinary collaboration group (n = 100). Key metrics included surgical outcomes, inflammatory response, recovery metrics, functional and mobility outcomes, quality of life measurements, readmission rates, nutritional status and psychosocial and cognitive outcomes.

Results

The ERAS group showed significantly reduced intraoperative blood loss (330.42 ± 45.36 mL vs. 350.75 ± 50.62 mL; P = 0.003), shorter hospital stays (6.65 ± 1.24 days vs. 7.32 ± 1.62 days; P = 0.001) and lowered surgical complication rates (13.00% vs. 24.27%; P = 0.040). Additionally, improvements were noted in inflammatory markers and functional outcomes, including subgroup analyses by age, quality-of-life scores and reduced readmission rates within 30 and 90 days. Psychosocial and cognitive measures also favored the ERAS group.

Conclusion

Implementing ERAS protocols with a well-organized, multidisciplinary team in elderly patients with hip fracture significantly improves perioperative and postoperative outcomes. Geriatr Gerontol Int 2025; 25: 1089–1096.

Abstract Image

查看原文本刊更多论文

多学科协作在老年髋部骨折术后增强康复概念中的应用效果分析。

目的：老年人髋部骨折具有很高的发病率和死亡率，对健康构成重大挑战。增强术后恢复（ERAS）方案提供了多学科方法，可能改善这一人群的预后。先前的研究已经检查了髋部骨折的ERAS，但重要的问题仍然是一个组织良好的团队如何有利于围手术期管理。本研究评估ERAS治疗老年髋部骨折的有效性，并与传统手术方法进行比较。方法：对2022年1月至2024年1月期间接受髋部骨折手术的203例60-85岁患者进行回顾性队列研究。将患者分为常规组（103例）和ERAS多学科协作组（100例）。关键指标包括手术结果、炎症反应、恢复指标、功能和活动能力指标、生活质量指标、再入院率、营养状况、社会心理和认知结果。结果：ERAS组术中出血量明显减少（330.42±45.36 mL vs 350.75±50.62 mL）；P = 0.003)，住院时间较短(6.65±1.24天vs. 7.32±1.62天；P = 0.001)，手术并发症发生率降低(13.00% vs. 24.27%；p = 0.040)。此外，炎症标志物和功能结果也有所改善，包括按年龄、生活质量评分和30天和90天内再入院率降低的亚组分析。社会心理和认知测试也有利于ERAS组。结论：在组织良好的多学科团队中实施ERAS方案可显著改善老年髋部骨折患者的围手术期和术后预后。Geriatr Gerontol 2025；••: ••-••.

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.