Effect of enhanced recovery after surgery with multidisciplinary collaboration on nursing outcomes after total knee arthroplasty

doi:10.12998/wjcc.v11.i32.7745

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Nov 16, 2023 (publication date) through Mar 5, 2026

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Clin Cases. Nov 16, 2023; 11(32): 7745-7752
Published online Nov 16, 2023. doi: 10.12998/wjcc.v11.i32.7745

Effect of enhanced recovery after surgery with multidisciplinary collaboration on nursing outcomes after total knee arthroplasty

Jing Liu, Qian-Qian Zheng, Yang-Tao Wu

Jing Liu, Qian-Qian Zheng, Yang-Tao Wu, Operating Room, Shangrao People's Hospital, Shangrao 334000, Jiangxi Province, China

Author contributions: Liu J proposed the concept of this study; Zheng QQ has made contributions to data collection; Wu YT contributes to formal analysis; Liu J, Zheng QQ, Wu YT participated in the research; Wu YT has contributed to these methods; Liu J guided the research; Wu YT validated the effectiveness of this study; Zheng QQ and Wu YT contributed to the visualization of this study; Liu J drafted the first draft; Liu J, Zheng QQ, and Wu YT jointly reviewed and edited the manuscript.

Institutional review board statement: This study has passed the ethical review and approval of Shangrao People's Hospital.

Informed consent statement: The patient's informed consent form is not suitable for this study.

Conflict-of-interest statement: All authors declare that there are no conflicts of interest disclosed.

Data sharing statement: No additional data are available.

STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.

Corresponding author: Jing Liu, MS, Nurse, Operating Room, Shangrao People's Hospital, No. 87 Shuyuan Road, Shangrao 334000, Jiangxi Province, China. lang588553588894@126.com

Received: September 27, 2023
Peer-review started: September 27, 2023
First decision: October 24, 2023
Revised: October 25, 2023
Accepted: October 30, 2023
Article in press: October 30, 2023
Published online: November 16, 2023
Processing time: 49 Days and 15.3 Hours

Abstract

BACKGROUND

There is a lack of studies on the effects of enhanced recovery after surgery (ERAS) with multidisciplinary collaboration on the nursing outcomes of total knee arthroplasty (TKA).

AIM

To explore the effect of ERAS with multidisciplinary collaboration on nursing outcomes after TKA.

METHODS

We retrospectively analyzed the clinical data of 80 patients who underwent TKA at a tertiary hospital between January 2021 and December 2022. The patients were divided into two groups according to the nursing mode: the ERAS group (n = 40) received ERAS with multidisciplinary collaboration, and the conventional group (n = 40) received routine nursing. The following indicators were compared between the two groups: length of hospital stay, hospitalization cost, intraoperative blood loss, hemoglobin level 24 h after surgery, visual analog scale (VAS) score for pain, range of motion (ROM) of the knee joint, Hospital for Special Surgery (HSS) knee score, and postoperative complications.

RESULTS

The ERAS group had a significantly shorter length of hospital stay, lower hospitalization cost, less intraoperative blood loss, higher hemoglobin level 24 h after surgery, lower VAS score for pain, higher knee joint ROM, and higher HSS knee score than the conventional group (all P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P > 0.05).

CONCLUSION

Multidisciplinary collaboration with ERAS can reduce blood loss, shorten hospital stay, and improve knee function in patients undergoing TKA.

Keywords: Arthroplasty, replacement, knee; Retrospective studies; Range of motion, articular; Length of stay; Blood loss, surgical; Hemoglobins

Core Tip: Enhanced recovery after surgery (ERAS) with multidisciplinary collaboration improves nursing outcomes in total knee arthroplasty (TKA). Compared to conventional nursing, ERAS leads to shorter hospital stays, lower costs, reduced blood loss, higher hemoglobin levels, decreased pain as per visual analog scale scores, improved knee joint range of motion, and higher Hospital for Special Surgery knee scores. There is no significant difference in postoperative complications. Multidisciplinary collaboration with ERAS enhances TKA patient outcomes by reducing blood loss, shortening hospital stays, and improving knee function.