The efficacy and safety of fast track surgery (FTS) in patients after hip fracture surgery: a meta-analysis
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(5):11 J Orthop Surg Res . 2021 Feb 27;16(1):162What this means for my practice?
Study findings from this meta-analysis suggest that a nursing intervention based on fast-track surgery concept can improve length of hospital stay, pain, leaving bed time, and incidence of complications when compared to the standard of care in patients undergoing total hip arthroplasty. The limitations of this study included the heterogeneity in most pooled outcomes, including cost, leaving bed time, satisfaction, VAS pain, Harris hip score, and length of hospital stay, which could have increased bias in the results. Therefore, future randomized controlled trials are required to confirm the findings of this meta-analysis.
Study Summary
A total of 57 randomized controlled trials with 8,886 patients were included in this meta-analysis comparing elderly patients undergoing a hip arthroplasty were randomized to receive a fast-track surgery (FTS) peri-operative nursing protocol (n=4448) or the standard of care (n=4438). Primary outcomes of interest were the hospital length of stay, function evaluated using the Harris hip score (HHS), pain evaluated using the Visual Analogue Scale (VAS), and satisfaction. The secondary outcome of interest was the leaving bed time. Additional outcomes of interest included cost and the incidence of complications (i.e. respiratory system infection, urinary system infection, venous thrombus embolism (VTE), pressure sore, incision infection, constipation, and prosthesis dislocation). Pooled results revealed that all outcomes were statistically significantly in favour of the FTS group compared to the control (p<0.05 for all).
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!
0 of 4 monthly FREE articles unlocked
