Enhanced Recovery After Surgery in Total Knee Replacement Surgery
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Compare early outcomes of ERAS and non-ERAS TKR patients from Nov 2019 to Jan 2020. ERAS showed promising results in improving recovery metrics for TKR patients.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Value Based Care, Patient Reported Experience Measures, Functional Outcome, Length Of Stay, Productivity, Cost Saving
About this Content
Aims
Compare early outcomes of ERAS and non-ERAS TKR patients from Nov 2019 to Jan 2020.
Background
Enhanced Recovery After Surgery (ERAS) aims to reduce post-op complications, length of stay, and improve patient recovery.
Methods
Conducted pilot with 48 patients, including patient education, prehabilitation, and post-op analgesia.
Results
Pain scores and ambulation improved significantly (POD 0: 2.4 vs 3.5); ALOS reduced by 10%.
Conclusion
ERAS showed promising results in improving recovery metrics for TKR patients.
Lessons Learnt
Leadership, multidisciplinary buy-in, and a robust clinical pathway are key for successful ERAS implementation.
Keywords
Enhanced Recovery, Total Knee Replacement, ERAS, Pain Management, Early Mobilization
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical, Allied Health |
Applicable Specialty or Discipline | Orthopaedics, Surgery |
Project Lead(s) | Wang Lushun |
Project Member(s) | Ashish R. Satapathy |
Connect with this contributor!
Fione Gun - fione_gun@nuhs.edu.sg
Project Attachment
C_256_NTFGH_QM_2020_Enhanced_Recovery_After_Surgery_in_Total_Knee_Replacement_Surgery.pdf