AI Article Synopsis
- Enhanced recovery after surgery (ERAS) protocols help optimize patient care, reduce complications, and speed up recovery in surgical procedures like tympanoplasty and mastoidectomy for chronic suppurative otitis media.
- A study with 84 patients compared ERAS to conventional recovery methods, measuring factors such as preoperative anxiety, postoperative pain, and comfort level using standardized scales.
- Results indicated that the ERAS group experienced lower anxiety and pain levels and higher comfort scores post-surgery, although there were no significant differences in complications, hospital stay, or costs.
Article Abstract
Introduction: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speedup recovery. Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative otitis media.
Objective: To compare the efficacy and safety between ERAS and conventional recovery after surgery in the perioperative period of chronic suppurative otitis media.
Methods: From April 2018 to February 2019, a total of 84 patients scheduled for tympanoplasty and/or mastoidectomy due to chronic suppurative otitis media were involved and randomly divided into the ERAS group and the control group. The patients' preoperative anxiety, postoperative pain, and comfort level were determined by comparing the results of Self-Rating Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Questionnaire (GCQ). The postoperative complications, postoperative hospital stay, and hospitalization cost were calculated.
Results: The ERAS group showed a lower SAS score (30 [28-31.5] vs 35 [30-43], < .05], a higher GCQ score (88 [84-100] vs 83 [78.25-92.25], < .05), and a lower VAS score (0 [0-0] vs 1 [0-2], < .05] after surgery. No significant difference ( > .05) was observed between the ERAS group and the control group in postoperative complications, postoperative hospitalization time, and hospitalization cost, respectively.
Conclusion: Enhanced recovery after surgery can reduce pain and improve comfort in the perioperative period of chronic suppurative otitis media.
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| http://dx.doi.org/10.1177/0145561320928222 | DOI Listing |
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