The effect of enhanced recovery after surgery theory treating femoral neck fractures in elderly patients: a meta-analysis

doi:10.3877/cma.j.issn.2096-0263.2022.05.010

Abstract

Abstract:

Objective

To systematically evaluate the effect of ERAS theory applied in treating elderly patients with femoral neck fracture.

Methods

Randomized controlled trials (RCTs) on enhanced recovery after surgery(ERAS) theory peformed in elderly patients with femoral neck fracture were searched in recognized databases, such as CNKI、Wanfang、Weipu、Pubmed、Embase databases. The retrieval time was set up for each database up to December, 2019. The ERAS group is guided by the Enhanced Recovery After Surgery concept, and the control group is treated with the traditional methods. Literatures quality evaluation and meta analysis were performed using RevMan 5.3 software.

Results

A total of 7 RCTs were included in this study, with a total of 680 patients, of which 340 were in ERAS group and 340 in control group. The results of Meta analysis showed that compared with the control group, ERAS group could significantly shorten the length of stay in hospital (MD=-4.44; 95% CI: -4.88, -4.01; P<0.001). Reduce postoperative complications (RR=0.29; 95% CI: 0.19, 0.44; P<0.001); Increase the Harris score of hip function (MD = 4.86; 95% CI: 3.93, 5.80; P<0.001); Reduce the patient's pain VSA score (SMD =-1.83; 95% CI: -3.23, 0.44; P=0.01).

Conclusion

the application of ERAS concept in elderly patients withfemoral neck fractures can effectively shorten the length of stay, reduce the occurrence of complications, improve the life treatment of patients and improve the prognosis, which is worth popularizing in clinic.

Key words: Enhanced recovery after surgery(ERAS), Femoral neck fractures, Aged, Meta-analysis

Renlei Qin, Xiande Luo. The effect of enhanced recovery after surgery theory treating femoral neck fractures in elderly patients: a meta-analysis[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(05): 313-320.

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References 44

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研究作者	发表年份	语言	ERAS组			对照组
研究作者	发表年份	语言	例数	男/女	年龄（岁， ±s）	例数	男/女	年龄（岁， ±s）
陈驰等^[7]	2019	中文	30	20/10	70.3±3.9	30	18/12	69.7±4
李建斌等^[8]	2015	中文	60	-	71.3±7.1	60	-	70.8±6.7
蒋煜青等^[9]	2017	中文	55	24/31	73.3±7.3	52	24/28	72.5±8.1
蔡宇等^[10]	2016	中文	45	23/22	68.2±3.7	45	22/23	70.6±4.1
高宏伟等^[11]	2019	中文	20	4/16	75.1±9.3	20	5/15	74.8±8.4
Macfie D等^[12]	2007	英文	102	28/74	82.3±6.6	97	23/74	82.0±5.9
Stenvall M等^[13]	2012	英文	28	6/22	81.0±5.8	36	11/25	83.2±6.4

研究作者	发表年份	语言	ERAS组			对照组
研究作者	发表年份	语言	例数	男/女	年龄（岁， ±s）	例数	男/女	年龄（岁， ±s）
陈驰等^[7]	2019	中文	30	20/10	70.3±3.9	30	18/12	69.7±4
李建斌等^[8]	2015	中文	60	-	71.3±7.1	60	-	70.8±6.7
蒋煜青等^[9]	2017	中文	55	24/31	73.3±7.3	52	24/28	72.5±8.1
蔡宇等^[10]	2016	中文	45	23/22	68.2±3.7	45	22/23	70.6±4.1
高宏伟等^[11]	2019	中文	20	4/16	75.1±9.3	20	5/15	74.8±8.4
Macfie D等^[12]	2007	英文	102	28/74	82.3±6.6	97	23/74	82.0±5.9
Stenvall M等^[13]	2012	英文	28	6/22	81.0±5.8	36	11/25	83.2±6.4

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