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The aim of the study is to develop, verify and optimize the ERAS protocol for cardiac surgery.
The aim of the study is to develop, verify and optimize the ERAS protocol for cardiac surgery, thereby improving the overall prognosis of cardiac surgery patients, reducing the incidence of complications, and shortening the length of hospital stay.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERAS | Experimental |
| |
| Control | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Preoperative Strategies | Other | Patient Education Preoperative Oral Carbohydrate Loading Nutritional Optimization Glycemic Control Anemia Correction Preoperative Hair Removal |
|
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Within 1 month after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Length of ICU stay | Within 1 month after surgery | |
| Duration of mechanical ventilation after surgery | Within 1 week after surgery | |
| Postoperative bowel motility |
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Inclusion Criteria:
Exclusion Criteria:
Termination of Intervention
Intervention will be terminated for the following reasons:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of AnHui Medical University | Hefei | Anhui | 230022 | China | ||
| Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine |
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| Intraoperative Strategies | Other | Anesthetic Technique (Multimodal Analgesia) Antibiotics Glycemic Control Blood Transfusion Blood Conservation Optimization of Hemodynamics Protective Lung Ventilation Strategy Optimization of Anesthetic Depth Optimization of CPB Management |
|
| Postoperative Strategies | Other | Postoperative Analgesia Temperature Management Renal Protection Glycemic Control Early Extubation Early Oral Intake Maintain Drain Patency and Early Removal Early Ambulation Thromboprophylaxis |
|
| within 1 month after surgery |
| Overall hospitalization costs | Within 3 months after surgery |
| Transfusion requirements | within 1 month after surgery |
| Postoperative acute pain | assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain) | within 1 month after surgery |
| Quality of recovery | assessed using the 15-item Quality of Recovery-15 (QoR-15) scale, with each item scored from 0 (very poor) to 10 (very good), for a total score of 150 | within 1 month after surgery |
| Chronic pain | Diagnostic Criteria of Chronic (postsurgical) Pain
| within 6 months after surgery |
| Patient's subjective comfort | assessed using the Bruggrmann Comfort Scale (BCS),it is a scoring tool for assessing patient comfort, ranging from 0 (persistent pain) to 4 (pain-free even when coughing) | within 6 months after surgery |
| Postoperative complications | Including mortality and complications both in-hospital and post-discharge | within 6 months after surgery |
| Shanghai |
| Shanghai Municipality |
| 200000 |
| China |
| Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University | Shanghai | Shanghai Municipality | 200000 | China |
| Zhongshan Hospital Affiliated to Fudan University | Shanghai | Shanghai Municipality | 200032 | China |