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108 patients underwent elective SPK surgery were randomly divided into ERAS group (E) and routine care group (T). The ERAS group was consisted of evidenced-based systematic optimization approaches, while the control group received routine care.
Primary results: the postoperative length of stay (LoS) and hospitalization costs; second results: post-operative analgesia score (NRS) , the incidence of post-operative nausea and vomiting (PONV) , urinary catheter removal time by 7 days , post-operative gastric tube indwelling time, the incidence of ambulation within 6 days . the dosage of dobutamine using , the dosage of norepinephrine using, and the total amount of fluid and urine volume . MAP and lactate level . Peak systolic velocity (PSV) and (resistance index) RI of grafts were checked between two groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERAS group | Experimental | ERAS group was consisted of evidenced-based systematic optimization approaches |
|
| Traditional group | No Intervention | The control group received routine care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced recovery for SPK recipients | Procedure | Pre-operative, perioperative and post-operative were consisted of evidenced-based systematic optimization approaches. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay (LoS) | Record the time for SPK recipients of LoS (days) | Record all the period time from the day of admiting to hospital to the day of discharge from hospital(days). |
| Hospital costs (US dollar) | The total cost of treatment for the patients. | Total costs(dollar) of the patients spended from the day of admiting to hospital to the day of discharge from hospital(days). |
| Measure | Description | Time Frame |
|---|---|---|
| Perioperative complications | 48 hours post-operative analgesia score (NRS), the incidence of post-operative nausea and vomiting (PONV) , urinary catheter removal time by 7 days , post-operative gastric tube indwelling time, the incidence of ambulation within 6 days | After the surgery acomplishment(see detail above)：record the NRS within 40hours after the surgery, occurrence rate of the PPCs within 2 weeks after the surgery, ocurrence rate of the ambulation within 6 days after the surgery, etc. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Second affiliated hospital of Guangzhou Medical University | Guangzhou | Guangdong | 510260 | China |
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| ID | Term |
|---|---|
| D003928 | Diabetic Nephropathies |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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prospective randomized controlled tiral
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| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |