The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2026
Impact of Enhanced Recovery After Surgery (ERAS) compliance on the effect and clinical outcomes for ankle fractures: A multicenter retrospective study.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Zhu Shiyu, Sun Zhijian, Gao Shixiang, Ma Yinghong, Xu Mingcheng, Wang Xinpeng, Li Ting
Аннотация
BACKGROUND: Ankle fractures are common in adults. Enhanced Recovery After Surgery (ERAS) improves surgical outcomes, but few studies explore how ERAS compliance levels affect these patients. This study aimed to analyze perioperative ERAS compliance and optimize management.
METHOD: The clinical data of patients with ankle fractures who were included in the ERAS perioperative management algorithm database from May 2019 to May 2024 were selected for this retrospective analysis. Key indicators and 6-month follow-up outcomes were compared. Multiple linear regression was used to analyze the impact of ERAS compliance on length of hospital stay (LOS).
RESULT: A total of 1,202 patients were enrolled, and 290 of them completed the follow-up. Using the median compliance rate of 70% as the cutoff, patients were divided into high compliance group and low compliance group. Demographically, age and Body Mass Index (BMI) differed significantly between the two groups (P < 0.05). Most ERAS process indicators also showed significant differences (P < 0.05). The high compliance group had shorter total, preoperative, and postoperative hospital stays (P < 0.05) but longer time to return to pre-injury activities (P < 0.05), with more in-hospital VAS scores >3 points and related intervention differences (P < 0.05). No significant differences were found in complications, total costs, or treatment satisfaction (P > 0.05). After adjusting for age, comorbidities, gender, and BMI, ERAS compliance was a significant negative predictor of LOS.
CONCLUSIONS: ERAS compliance was associated with shortened ankle fracture patients' length of hospital stay without increasing complications. Notably, the high compliance group had a longer time to return to pre-injury work or daily activities.
METHOD: The clinical data of patients with ankle fractures who were included in the ERAS perioperative management algorithm database from May 2019 to May 2024 were selected for this retrospective analysis. Key indicators and 6-month follow-up outcomes were compared. Multiple linear regression was used to analyze the impact of ERAS compliance on length of hospital stay (LOS).
RESULT: A total of 1,202 patients were enrolled, and 290 of them completed the follow-up. Using the median compliance rate of 70% as the cutoff, patients were divided into high compliance group and low compliance group. Demographically, age and Body Mass Index (BMI) differed significantly between the two groups (P < 0.05). Most ERAS process indicators also showed significant differences (P < 0.05). The high compliance group had shorter total, preoperative, and postoperative hospital stays (P < 0.05) but longer time to return to pre-injury activities (P < 0.05), with more in-hospital VAS scores >3 points and related intervention differences (P < 0.05). No significant differences were found in complications, total costs, or treatment satisfaction (P > 0.05). After adjusting for age, comorbidities, gender, and BMI, ERAS compliance was a significant negative predictor of LOS.
CONCLUSIONS: ERAS compliance was associated with shortened ankle fracture patients' length of hospital stay without increasing complications. Notably, the high compliance group had a longer time to return to pre-injury work or daily activities.