RT Journal Article
T1 Association Between Use of Enhanced Recovery After Surgery Protocol and Postoperative Complications in Total Hip and Knee Arthroplasty in the Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty Study (POWER2).
A1 Ripollés-Melchor, Javier
A1 Abad-Motos, Ane
A1 Díez-Remesal, Yolanda
A1 Aseguinolaza-Pagola, Marta
A1 Padin-Barreiro, Lidia
A1 Sánchez-Martín, Rubén
A1 Logroño-Egea, Margarita
A1 Catalá-Bauset, Juan C
A1 García-Orallo, Silvia
A1 Bisbe, Elvira
A1 Martín, Nuria
A1 Suárez-de-la-Rica, Alejandro
A1 Cuéllar-Martínez, Ana B
A1 Gil-Trujillo, Silvia
A1 Estupiñán-Jiménez, Juan Carlos
A1 Villanova-Baraza, Marta
A1 Gil-Lapetra, Cristina
A1 Pérez-Sánchez, Pilar
A1 Rodríguez-García, Nicolás
A1 Ramiro-Ruiz, Alvaro
A1 Farré-Tebar, Carla
A1 Martínez-García, Alejandro
A1 Arauzo-Pérez, Pedro
A1 García-Pérez, Cristina
A1 Abad-Gurumeta, Alfredo
A1 Miñambres-Villar, María A
A1 Sánchez-Campos, Alberto
A1 Jiménez-López, Ignacio
A1 Tena-Guerrero, José M
A1 Marín-Peña, Oliver
A1 Sánchez-Merchante, Míriam
A1 Vicente-Gutiérrez, Ubaldo
A1 Cassinello-Ogea, María C
A1 Ferrando-Ortolá, Carlos
A1 Berges-Gutiérrez, Héctor
A1 Fernanz-Antón, Jesús
A1 Gómez-Ríos, Manuel A
A1 Bordonaba-Bosque, Daniel
A1 Ramírez-Rodríguez, José M
A1 García-Erce, José Antonio
A1 Aldecoa, César
A1 Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty (POWER2) Study Investigators Group for the Spanish Perioperative Audit and Research Network (REDGERM), 
AB The Enhanced Recovery After Surgery (ERAS) care protocol has been shown to improve outcomes compared with traditional care in certain types of surgery. To assess the association of use of the ERAS protocols with complications in patients undergoing elective total hip arthroplasty (THA) and total knee arthroplasty (TKA). This multicenter, prospective cohort study included patients recruited from 131 centers in Spain from October 22 through December 22, 2018. All consecutive adults scheduled for elective THA or TKA were eligible for inclusion. Patients were stratified between those treated in a self-designated ERAS center (ERAS group) and those treated in a non-ERAS center (non-ERAS group). Data were analyzed from June 15 through September 15, 2019. Total hip or knee arthroplasty and perioperative management. Sixteen individual ERAS items were assessed in all included patients, whether they were treated at a center that was part of an established ERAS protocol or not. The primary outcome was postoperative complications within 30 days after surgery. Secondary outcomes included length of stay and mortality. During the 2-month recruitment period, 6146 patients were included (3580 women [58.2%]; median age, 71 [interquartile range (IQR), 63-76] years). Of these, 680 patients (11.1%) presented with postoperative complications. No differences were found in the number of patients with overall postoperative complications between ERAS and non-ERAS groups (163 [10.2%] vs 517 [11.4%]; odds ratio [OR], 0.89; 95% CI, 0.74-1.07; P = .22). Fewer patients in the ERAS group had moderate to severe complications (73 [4.6%] vs 279 [6.1%]; OR, 0.74; 95% CI, 0.56-0.96; P = .02). The median overall adherence rate with the ERAS protocol was 50.0% (IQR, 43.8%-62.5%), with the rate for ERAS facilities being 68.8% (IQR, 56.2%-81.2%) vs 50.0% (IQR, 37.5%-56.2%) at non-ERAS centers (P  An increase in adherence to the ERAS program was associated with a decrease in postoperative complications, although only a few ERAS items were individually associated with improved outcomes.
YR 2020
FD 2020-04-15
LK http://hdl.handle.net/10668/15092
UL http://hdl.handle.net/10668/15092
LA en
DS RISalud
RD Apr 7, 2025