Health Management of Enhanced Recovery After Surgery in Thoracic Surgery

Abstract

Objective: Although the concept of Enhanced Recovery After Surgery (ERAS) has gradually become familiar with surgeons and applied in clinical practice in recent years, the current status of the experience and application of ERAS in Chinese mainland thoracic surgeons is still not clear. This study is based on the results of a questionnaire survey of ERAS-related issues among participating thoracic surgeons and nurses, and analyzes the current status of accelerated rehabilitation surgery in thoracic surgery using bioinformatics. Methods: We analyze the 720 valid questionnaires that participated in the first session of the ERAS West China Forum. The content of the questionnaire mainly includes two parts: one is the situation of the respondent’s unit and the basic situation of the individual; the other is to accelerate the 10 problems related to rehabilitation surgery. Results: (1) The clinical application status of ERAS is more than practice, and 68.3% of doctors and 57.8% of nurses agree with this view; 87.9% of doctors and 86.2% of nurses believe that the ERAS concept applies to all surgical procedures. (2) The main reason for the poor compliance of ERAS clinical application was that the program was immature, without consensus and norms (56.4% of doctors and 68.8% of nurses). (3) The best team combination for ERAS clinical implementation is surgical-based discipline collaboration and healthcare (61.5% of physicians and 72.2% of nurses). (4) 75.1% of doctors and 82.6% of nurses believe that the evaluation criteria of ERAS should be: comprehensive evaluation of average hospitalization days, patient experience and social satisfaction. Conclusions: Accelerated rehabilitation surgery in the application of thoracic surgery is still the idea is greater than practice, the main reason is the lack of clinically available norms and programs. We can achieve the findings and verify them using statistical study.

The Global States and Hotspots of ERAS Research From 2000 to 2020: A Bibliometric and Visualized Study

“…Though the ERAS protocol has been widely recognized around the world, there were still limited changes in most healthcare systems ( 6 ). In this study, the majority of the original articles were clinical research, followed by surveys, quality improvement studies, audits, cost-effectiveness analyses, and cross-sectional studies ( 21 – 25 ). We found that only quite a few studies had multidisciplinary interventions, however, most of them focused on elements of ERAS.…”