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The aim of this study is to compare the outcomes after scoliosis surgery before and after the implementation of an interdisciplinary juvenile scoliosis correction program in teenager based on ERAS (enhanced recovery after surgery) principles.
Creating an optimal protocol for interdisciplinary care in the perioperative period in terms of therapeutic management (anesthesia and surgery schedule), as well as care, rehabilitation and ensuring mental well-being determines the real impact on the reduction of the risk of complications in the perioperative period. Enhanced recovery after surgery (ERAS) protocol has been found to result in reduced lenght of stay and complications in adult patients. Data in pediatric population remains modest. In addition to ERAS principles our terapeutic team has created a special educational application for better patient preparation for surgery. The purpose of the application is to explain the general rules of conduct in the process of preparing and carrying out surgery, anesthesia, prehabilitation and physiotherapy in children undergoing orthopedics surgery (e.g. spine surgery for adolescent idiopathic scoliosis).
Hypothesis: Implementing an interdisciplinary juvenile scoliosis correction program based on ERAS principles and special educational app. will improve patient outcomes leading to a statistically significant reduction in post-operative pain and opioids demand, complication rate, length of stay without increasing readmissions and cost.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| "the before" group | 40 teenagers after scoliosis surgery before interdisciplinary program implementation | ||
| "the after" group 1 | 40 teenagers after scoliosis surgery after ERAS program implementation | ||
| "the after" group 2 | 40 teenagers after scoliosis surgery after ERAS and educational program implementation |
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| Measure | Description | Time Frame |
|---|---|---|
| type of complications | surgery and anaesthesia complications | up to 4 weeks after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative length of hospital stay | Postoperative length of hospital stay | up to 4 weeks after surgery |
| Number of Analgetics consumption | consumption including opioids and non-opioids drug |
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Inclusion Criteria:
Exclusion Criteria:
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Caucasian children undergoing orthopedics surgery (e.g. spine surgery for adolescent idiopathic scoliosis).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jowita Biernawska, MD PhD | Contact | 501337073 | lisienko@wp.pl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pomeranian Medical University | Recruiting | Szczecin | 70-204 | Poland |
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| ID | Term |
|---|---|
| D012600 | Scoliosis |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D013121 | Spinal Curvatures |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| up to 6 days after surgery |
| Time to first bowel motion | Able to eat without abdominal discomfort, nausea, or vomiting | up to 6 days after surgery |
| Time to first verticalization | up to 6 days after surgery |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |