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The implementation of ERAS protocol in elective cranial neurosurgical cases in a tertiary hospital.
In this study, the investigators have integrated the most current data from literature aiming to investigate the effectiveness of a contemporary ERAS protocol for elective cranial neurosurgical cases in a tertiary hospital. The hypothesis is that the implementation of such protocol will shorten the postoperative length of stay, minimize the complication rates, and improve the overall clinical status of patients undergoing elective craniotomy compared to the standard perioperative care
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERAS |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERAS | Other | Implementation of ERAS protocol in elective craniotomy patients |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospital Length of Stay | The days the patient stays in hospital | up to 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Pain intensity as measured by Visual Analogue Scale (VAS) | Postoperative Day 1 to discharge, an average of 7 days |
| Mental status | Mental status as measured by Glasgow Coma Scale (GCS) Minimum value : 3 Maximum value : 15 Higher scores mean a better outcome |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients undergoing elective craniotomy
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eleni Arnaoutoglou, MD, PhD | Contact | +306974301352 | earnaout@gmail.com | |
| Metaxia Bareka, MD, PhD | Contact | +306947845083 | barekametaxia@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Eleni Arnaoutolglou, MD, PhD | University of Thessaly | Study Director |
| Konstantinos Fountas, MD, PhD | University of Thessaly | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Thessaly | Recruiting | Larissa | 41110 | Greece |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34739947 | Result | Wang L, Cai H, Wang Y, Liu J, Chen T, Liu J, Huang J, Guo Q, Zou W. Enhanced recovery after elective craniotomy: A randomized controlled trial. J Clin Anesth. 2022 Feb;76:110575. doi: 10.1016/j.jclinane.2021.110575. Epub 2021 Nov 2. | |
| 35686112 | Result | Wang Y, Xue YF, Zhao BF, Guo SC, Ji PG, Liu JH, Wang N, Chen F, Zhai YL, Wang Y, Xue YR, Gao GD, Qu Y, Wang L. Real-World Implementation of Neurosurgical Enhanced Recovery After Surgery Protocol for Gliomas in Patients Undergoing Elective Craniotomy. Front Oncol. 2022 May 24;12:860257. doi: 10.3389/fonc.2022.860257. eCollection 2022. |
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| 1 day at discharge |
| Patient's satisfaction | Patient's satisfaction as measured by a Likert Scale | 1 day at discharge and 1 month postoperatively |
| Anxiety and Depression | Anxiety and Depression level as measured by Hospital Anxiety and Depression Scale (HADS) | Preoperatively, second postoperative day and one month postoperatively |
| Personality Index | Personality Index as measured by TIPI | Preoperatively, second postoperative day and one month postoperatively |
| 33740911 | Result | Elayat A, Jena SS, Nayak S, Sahu RN, Tripathy S. "Enhanced recovery after surgery - ERAS in elective craniotomies-a non-randomized controlled trial". BMC Neurol. 2021 Mar 19;21(1):127. doi: 10.1186/s12883-021-02150-7. |
| 29932379 | Result | Wang Y, Liu B, Zhao T, Zhao B, Yu D, Jiang X, Ye L, Zhao L, Lv W, Zhang Y, Zheng T, Xue Y, Chen L, Sankey E, Chen L, Wu Y, Li M, Ma L, Li Z, Li R, Li J, Yan J, Wang S, Zhao H, Sun X, Gao G, Qu Y, He S. Safety and efficacy of a novel neurosurgical enhanced recovery after surgery protocol for elective craniotomy: a prospective randomized controlled trial. J Neurosurg. 2018 Jun 22;130(5):1680-1691. doi: 10.3171/2018.1.JNS171552. Print 2019 May 1. |
| 33962374 | Result | Stumpo V, Staartjes VE, Quddusi A, Corniola MV, Tessitore E, Schroder ML, Anderer EG, Stienen MN, Serra C, Regli L. Enhanced Recovery After Surgery strategies for elective craniotomy: a systematic review. J Neurosurg. 2021 May 7;135(6):1857-1881. doi: 10.3171/2020.10.JNS203160. Print 2021 Dec 1. |
| 34509236 | Result | Agarwal P, Frid I, Singer J, Zalatimo O, Schirmer CM, Kimmell KT, Agarwal N. Neurosurgery perception of Enhanced Recovery After Surgery (ERAS) protocols. J Clin Neurosci. 2021 Oct;92:110-114. doi: 10.1016/j.jocn.2021.07.044. Epub 2021 Aug 7. |