Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm

Hui Han,* Songtao Guo,* Hao Jiang, Xi Wu Department of Neurosurgery, Inner Mongolia Xing’an Meng People’s Hospital, Ulanhot 137400, China *These authors contributed equally to this work Objective: Intracranial aneurysm is a kind of severe intracranial disease mainly responsibl...

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Autores principales:	Han H, Guo S, Jiang H, Wu X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	elderly enhanced recovery after surgery intracranial aneurysm Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/aad31dfd737b45dc85c48533bec9e933
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spelling	oai:doaj.org-article:aad31dfd737b45dc85c48533bec9e9332021-12-02T05:43:38ZFeasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm1178-1998https://doaj.org/article/aad31dfd737b45dc85c48533bec9e9332019-01-01T00:00:00Zhttps://www.dovepress.com/feasibility-and-efficacy-of-enhanced-recovery-after-surgery-protocol-i-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Hui Han,* Songtao Guo,* Hao Jiang, Xi Wu Department of Neurosurgery, Inner Mongolia Xing’an Meng People’s Hospital, Ulanhot 137400, China *These authors contributed equally to this work Objective: Intracranial aneurysm is a kind of severe intracranial disease mainly responsible for subarachnoid hemorrhage, and the rupture of intracranial aneurysm results in a mortality rate of 30%–40%. For the first time in the world, this study aimed to assess the feasibility and efficacy of enhanced recovery after surgery (ERAS) protocol in Chinese elderly patients with intracranial aneurysm.Methods: In this study, 300 elderly patients with intracranial aneurysm were recruited and divided into two groups as follows: ERAS group (n=150, ERAS protocol) and control group (n=150, conventional management).Results: Age of whole cohort was 65 (64–67) years with 140 males (46.7). There was no difference between two groups in baseline features of patients, such as age, sex, medical histories, percentages of aneurysmal location, aneurysmal number >1 per patient, aneurysmal diameter >5 mm, or lobular aneurysm (P>0.05 for all). There was no occurrence of death in two groups. Compared with those in the control group, patients in the ERAS group had significantly shorter length of hospital stay (P<0.05). Between two groups, patients had not only similar Glasgow Outcome Scale (GOS) and Modified Rankin Scale (MRS) at discharge but also occurrence of readmission at follow-up (P>0.05 for all). Patients in the ERAS group had significantly higher GOS and lower MRS at follow-up (P<0.05 for all). Conclusion: ERAS protocol significantly shortened the length of hospital stay and improved GOS and MRS without any increase in the mortality or readmission in Chinese elderly patients with intracranial aneurysm. Keywords: elderly, enhanced recovery after surgery, intracranial aneurysmHan HGuo SJiang HWu XDove Medical Pressarticleelderlyenhanced recovery after surgeryintracranial aneurysmGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 203-207 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	elderly enhanced recovery after surgery intracranial aneurysm Geriatrics RC952-954.6
spellingShingle	elderly enhanced recovery after surgery intracranial aneurysm Geriatrics RC952-954.6 Han H Guo S Jiang H Wu X Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm
description	Hui Han,* Songtao Guo,* Hao Jiang, Xi Wu Department of Neurosurgery, Inner Mongolia Xing’an Meng People’s Hospital, Ulanhot 137400, China *These authors contributed equally to this work Objective: Intracranial aneurysm is a kind of severe intracranial disease mainly responsible for subarachnoid hemorrhage, and the rupture of intracranial aneurysm results in a mortality rate of 30%–40%. For the first time in the world, this study aimed to assess the feasibility and efficacy of enhanced recovery after surgery (ERAS) protocol in Chinese elderly patients with intracranial aneurysm.Methods: In this study, 300 elderly patients with intracranial aneurysm were recruited and divided into two groups as follows: ERAS group (n=150, ERAS protocol) and control group (n=150, conventional management).Results: Age of whole cohort was 65 (64–67) years with 140 males (46.7). There was no difference between two groups in baseline features of patients, such as age, sex, medical histories, percentages of aneurysmal location, aneurysmal number >1 per patient, aneurysmal diameter >5 mm, or lobular aneurysm (P>0.05 for all). There was no occurrence of death in two groups. Compared with those in the control group, patients in the ERAS group had significantly shorter length of hospital stay (P<0.05). Between two groups, patients had not only similar Glasgow Outcome Scale (GOS) and Modified Rankin Scale (MRS) at discharge but also occurrence of readmission at follow-up (P>0.05 for all). Patients in the ERAS group had significantly higher GOS and lower MRS at follow-up (P<0.05 for all). Conclusion: ERAS protocol significantly shortened the length of hospital stay and improved GOS and MRS without any increase in the mortality or readmission in Chinese elderly patients with intracranial aneurysm. Keywords: elderly, enhanced recovery after surgery, intracranial aneurysm
format	article
author	Han H Guo S Jiang H Wu X
author_facet	Han H Guo S Jiang H Wu X
author_sort	Han H
title	Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm
title_short	Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm
title_full	Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm
title_fullStr	Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm
title_full_unstemmed	Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm
title_sort	feasibility and efficacy of enhanced recovery after surgery protocol in chinese elderly patients with intracranial aneurysm
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/aad31dfd737b45dc85c48533bec9e933
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_version_	1718400250897498112

Feasibility and efficacy of enhanced recovery after surgery protocol in Chinese elderly patients with intracranial aneurysm

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