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Application of Enhanced Recovery After Surgery in Perioperative Period of Tympanoplasty and Mastoidectomy

Introduction: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speedup recovery. Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative o...

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Published in:Ear, nose, & throat journal nose, & throat journal, 2021-12, Vol.100 (10_suppl), p.1045S-1049S
Main Authors: Tan, Jing-Qian, Chen, Yu-Bin, Wang, Wei-Hao, Zhou, Shao-Li, Zhou, Qi-Lin, Li, Peng
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container_title Ear, nose, & throat journal
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creator Tan, Jing-Qian
Chen, Yu-Bin
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Li, Peng
description Introduction: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speedup recovery. Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative otitis media. Objective: To compare the efficacy and safety between ERAS and conventional recovery after surgery in the perioperative period of chronic suppurative otitis media. Methods: From April 2018 to February 2019, a total of 84 patients scheduled for tympanoplasty and/or mastoidectomy due to chronic suppurative otitis media were involved and randomly divided into the ERAS group and the control group. The patients’ preoperative anxiety, postoperative pain, and comfort level were determined by comparing the results of Self-Rating Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Questionnaire (GCQ). The postoperative complications, postoperative hospital stay, and hospitalization cost were calculated. Results: The ERAS group showed a lower SAS score (30 [28-31.5] vs 35 [30-43], P < .05], a higher GCQ score (88 [84-100] vs 83 [78.25-92.25], P < .05), and a lower VAS score (0 [0-0] vs 1 [0-2], P < .05] after surgery. No significant difference (P > .05) was observed between the ERAS group and the control group in postoperative complications, postoperative hospitalization time, and hospitalization cost, respectively. Conclusion: Enhanced recovery after surgery can reduce pain and improve comfort in the perioperative period of chronic suppurative otitis media.
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Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative otitis media. Objective: To compare the efficacy and safety between ERAS and conventional recovery after surgery in the perioperative period of chronic suppurative otitis media. Methods: From April 2018 to February 2019, a total of 84 patients scheduled for tympanoplasty and/or mastoidectomy due to chronic suppurative otitis media were involved and randomly divided into the ERAS group and the control group. The patients’ preoperative anxiety, postoperative pain, and comfort level were determined by comparing the results of Self-Rating Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Questionnaire (GCQ). The postoperative complications, postoperative hospital stay, and hospitalization cost were calculated. Results: The ERAS group showed a lower SAS score (30 [28-31.5] vs 35 [30-43], P &lt; .05], a higher GCQ score (88 [84-100] vs 83 [78.25-92.25], P &lt; .05), and a lower VAS score (0 [0-0] vs 1 [0-2], P &lt; .05] after surgery. No significant difference (P &gt; .05) was observed between the ERAS group and the control group in postoperative complications, postoperative hospitalization time, and hospitalization cost, respectively. Conclusion: Enhanced recovery after surgery can reduce pain and improve comfort in the perioperative period of chronic suppurative otitis media.</description><identifier>ISSN: 0145-5613</identifier><identifier>EISSN: 1942-7522</identifier><identifier>DOI: 10.1177/0145561320928222</identifier><identifier>PMID: 32551958</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Chronic Disease ; Enhanced Recovery After Surgery ; Female ; Hospital Costs - statistics &amp; numerical data ; Humans ; Length of Stay - statistics &amp; numerical data ; Male ; Mastoidectomy - rehabilitation ; Middle Aged ; Otitis Media, Suppurative - rehabilitation ; Otitis Media, Suppurative - surgery ; Perioperative Care - methods ; Perioperative Period ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention &amp; control ; Treatment Outcome ; Tympanoplasty - rehabilitation ; Young Adult</subject><ispartof>Ear, nose, &amp; throat journal, 2021-12, Vol.100 (10_suppl), p.1045S-1049S</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-e78792f5d20c32883e1a201abce639ab3d0b77d1a58ee05a373afcea05d26db93</citedby><cites>FETCH-LOGICAL-c379t-e78792f5d20c32883e1a201abce639ab3d0b77d1a58ee05a373afcea05d26db93</cites><orcidid>0000-0002-0468-3545</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0145561320928222$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0145561320928222$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,21966,27853,27924,27925,44945,45333</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32551958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Jing-Qian</creatorcontrib><creatorcontrib>Chen, Yu-Bin</creatorcontrib><creatorcontrib>Wang, Wei-Hao</creatorcontrib><creatorcontrib>Zhou, Shao-Li</creatorcontrib><creatorcontrib>Zhou, Qi-Lin</creatorcontrib><creatorcontrib>Li, Peng</creatorcontrib><title>Application of Enhanced Recovery After Surgery in Perioperative Period of Tympanoplasty and Mastoidectomy</title><title>Ear, nose, &amp; throat journal</title><addtitle>Ear Nose Throat J</addtitle><description>Introduction: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speedup recovery. Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative otitis media. Objective: To compare the efficacy and safety between ERAS and conventional recovery after surgery in the perioperative period of chronic suppurative otitis media. Methods: From April 2018 to February 2019, a total of 84 patients scheduled for tympanoplasty and/or mastoidectomy due to chronic suppurative otitis media were involved and randomly divided into the ERAS group and the control group. The patients’ preoperative anxiety, postoperative pain, and comfort level were determined by comparing the results of Self-Rating Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Questionnaire (GCQ). The postoperative complications, postoperative hospital stay, and hospitalization cost were calculated. Results: The ERAS group showed a lower SAS score (30 [28-31.5] vs 35 [30-43], P &lt; .05], a higher GCQ score (88 [84-100] vs 83 [78.25-92.25], P &lt; .05), and a lower VAS score (0 [0-0] vs 1 [0-2], P &lt; .05] after surgery. No significant difference (P &gt; .05) was observed between the ERAS group and the control group in postoperative complications, postoperative hospitalization time, and hospitalization cost, respectively. 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throat journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Jing-Qian</au><au>Chen, Yu-Bin</au><au>Wang, Wei-Hao</au><au>Zhou, Shao-Li</au><au>Zhou, Qi-Lin</au><au>Li, Peng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Application of Enhanced Recovery After Surgery in Perioperative Period of Tympanoplasty and Mastoidectomy</atitle><jtitle>Ear, nose, &amp; throat journal</jtitle><addtitle>Ear Nose Throat J</addtitle><date>2021-12</date><risdate>2021</risdate><volume>100</volume><issue>10_suppl</issue><spage>1045S</spage><epage>1049S</epage><pages>1045S-1049S</pages><issn>0145-5613</issn><eissn>1942-7522</eissn><abstract>Introduction: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speedup recovery. Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative otitis media. Objective: To compare the efficacy and safety between ERAS and conventional recovery after surgery in the perioperative period of chronic suppurative otitis media. Methods: From April 2018 to February 2019, a total of 84 patients scheduled for tympanoplasty and/or mastoidectomy due to chronic suppurative otitis media were involved and randomly divided into the ERAS group and the control group. The patients’ preoperative anxiety, postoperative pain, and comfort level were determined by comparing the results of Self-Rating Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Questionnaire (GCQ). The postoperative complications, postoperative hospital stay, and hospitalization cost were calculated. Results: The ERAS group showed a lower SAS score (30 [28-31.5] vs 35 [30-43], P &lt; .05], a higher GCQ score (88 [84-100] vs 83 [78.25-92.25], P &lt; .05), and a lower VAS score (0 [0-0] vs 1 [0-2], P &lt; .05] after surgery. No significant difference (P &gt; .05) was observed between the ERAS group and the control group in postoperative complications, postoperative hospitalization time, and hospitalization cost, respectively. Conclusion: Enhanced recovery after surgery can reduce pain and improve comfort in the perioperative period of chronic suppurative otitis media.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32551958</pmid><doi>10.1177/0145561320928222</doi><orcidid>https://orcid.org/0000-0002-0468-3545</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Chronic Disease
Enhanced Recovery After Surgery
Female
Hospital Costs - statistics & numerical data
Humans
Length of Stay - statistics & numerical data
Male
Mastoidectomy - rehabilitation
Middle Aged
Otitis Media, Suppurative - rehabilitation
Otitis Media, Suppurative - surgery
Perioperative Care - methods
Perioperative Period
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Treatment Outcome
Tympanoplasty - rehabilitation
Young Adult
title Application of Enhanced Recovery After Surgery in Perioperative Period of Tympanoplasty and Mastoidectomy
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