Abstract
PurposeThis study intends to explore the safety and effectiveness of the concept of enhanced recovery after surgery (ERAS) in the perioperative care of patients with supratentorial tumors.MethodsA total of 151 supratentorial tumor patients were enrolled in this study, and they were divided into control group (n = 75) and observation group (n = 76) according to the random number table method. Patients in the control group received routine neurosurgery care, and patients in the observation group received enhanced recovery after surgery care. The incidence of perioperative complications, postoperative hospital stays, early postoperative eating time, catheter removal time, and time to get out of bed were observed for the two groups of patients, and the quality of postoperative recovery was evaluated.ResultsThere was no statistically significant difference in the basic data of the two groups of patients, such as age, gender, lesion location, and condition (P>0.05), and they were comparable. The observation group’s postoperative eating time, catheter removal time, and time to get out of bed were significantly earlier than those of the control group. Postoperative hospital stays and hospitalization expenses were less than those of the control group. There was a statistically significant difference in postoperative hospital stay between the two groups (P<0.05).ConclusionApplying the ERAS concept to implement perioperative care for patients with supratentorial tumors is safe and effective. It can not only reduce after-surgical stress and accelerate postoperative recovery, but also shorten hospital stays and reduce hospital costs. It is worthy of clinical application.
Highlights
Supratentorial tumors account for 80% of neurosurgery operations, and headaches, increased intracranial pressure, epilepsy, and local brain dysfunction are common
A total of 151 supratentorial tumor patients were enrolled in this study, and they were divided into control group (n = 75) and observation group (n = 76) according to the random number table method
The incidence of perioperative complications, postoperative hospital stays, early postoperative eating time, catheter removal time, and time to get out of bed were observed for the two groups of patients, and the quality of postoperative recovery was evaluated
Summary
Supratentorial tumors account for 80% of neurosurgery operations, and headaches, increased intracranial pressure, epilepsy, and local brain dysfunction are common. Enhanced recovery after surgery (ERAS), known as “rapid recovery after surgery,” [1,2,3] was first proposed by Danish surgeon Professor Kehlet [4] in 1997. It adopts a series of perioperative optimization treatment measures with evidencebased medical evidence to reduce the physical and psychological trauma of surgical patients, reduce complications, and achieve the purpose of enhanced recovery. Elayat et al found that ERAS could reduce the proportion of patients requiring intensive care unit (ICU) stay > 48 hours after supratentorial neurosurgery [6]. The consensus has not been reached for evidencebased recommendations of it [8]
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