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Enhanced recovery after surgery for hip and knee arthroplasty: A systematic review and meta-analysis on randomized
Wen Zhou1, Shiying Chu1, Yuan Zhou1
1Department of rehabilitation, Wuxi 9th People's Hospital Affiliated to Soochow University, China.
Objectives:
This review aimed to compare the efficacy and safety of enhanced recovery after surgery (ERAS) versus traditional care in patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA).
Methods:
All randomized controlled trials (RCTs) were acquired via a comprehensive search of multiple databases. A meta-analysis was performed using Cochrane Collaboration's RevMan 5.4 software to calculate effect sizes.
Results:
This meta-analysis included 850 patients in the ERAS group and 845 patients in the control group (patients who received traditional care). The outcomes suggested no significant difference in operative time, intraoperative blood loss, visual analogue scale, 30-day readmission rate, and mortality rate between the two groups. However, the ERAS group was associated with a significant decrease in transfusion rate, hospital length of stay, and postoperative complications. Moreover, the ERAS group had higher Hospital for Special Surgery scores and satisfaction rates.
Conclusions:
Patients who underwent THA and TKA would benefit more from ERAS than traditional care.
