The efficacy and safety of fast track surgery (FTS) in patients after hip fracture surgery: a meta-analysis

Abstract

Background Fast track surgery (FTS) has been gradually applied in perioperative management of orthopedic surgery, but there still some research suspected that the prognosis of patients is not as expected and the cost is high, the effect of the FTS still urgently needed for support by evidence-based medicine. Methods We retrieved RCTs from medical research literature databases. Risk ratios (RR), standard mean difference (SMD), and 95% confidence intervals (CI) were calculated to compare the primary and safety endpoints. Results Overall, a total of 8886 patients were retrieved from 57 articles, of which 4448 patients (50.06%) were randomized to experimental group whereas 4438 patients (49.94%) were randomized to control group. The result showed that FTS could significantly shorten the length of stay (LOS), decrease the visual analog scale (VAS), reduce the leaving bed time and the hospitalization costs, and improve Harris hip joint function score. The incidence of complications such as respiratory system infection, urinary system infection, venous thrombus embolism (VTE), pressure sore, incision infection, constipation, and prosthesis dislocation also has been decreased significantly. Meanwhile, FTS improved patients’ satisfaction apparently. Conclusions This meta-analysis reveals that FTS could significantly shorten the length of stay, alleviate the pain, reduce the leaving bed time and the hospitalization costs, and improve hip function. The incidence of complications also has been decreased significantly. Meanwhile, FTS has been spoken highly in patients in terms of nursing satisfaction. Its efficacy and safety were proved to be reliable.

Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture

“…ERAS optimizes the entire perioperative nursing, including strengthening preoperative education, maintaining the optimal physiological state of patients during surgery, and formulating scientific rehabilitation plans for patients after surgery. The case management mode combined with ERAS has the advantages of pertinence and individualization, which can effectively reduce the complications of patients with hip fracture [ 21 , 22 ].…”

Effect of Observation of Shou Hui Tong Bian Capsule (Polygonum Multiflorum and Aloe-Based Herbal Capsule for Cathartic Effect) in Rapid Rehabilitation of Joint Surgery

“…In the intestinal preparation of orthopedic patients [ 8 , 9 ], dehydration caused by oral administration of a large amount of liquid or laxative is a damage to patients, which can cause changes in the physiological environment and enhance the stress response during the perioperative period. Patients with normal defecation can receive Kaiselu to help defecate once in 1-2 days before surgery without intestinal preparation, to avoid postoperative abdominal distension.…”

Mapping Knowledge Structure and Themes Trends of Post-operative Rehabilitation of Hip Fractures in the Elderly: A Bibliometrics and Visualization Study

“…Under his concept guidance, FTS has been rapidly developed. It has been applied to elderly patients with hip fracture, which has not only shortened the hospital stay but also reduced the mortality of patients ( 29 ). Parker MJ's major research contribution was to predict the risk of hip fracture after surgery.…”