Fast-track rehabilitation and nursing care in postanesthesia care unit on orthopedic patients

Abstract

Objective: To assess the efficacy and outcome of fast-track rehabilitation (FTR) for orthopedic surgery patients.

Design: Randomised trial.

Setting: primary care.

Subjects and Methods: Two hundred and twenty patients undergoing orthopedic surgery under general anesthesia between November 2015 to March 2017 were randomly divided into traditional care (control, n=110) and fast-track rehabilitation (FTR,
n=110) groups. Patients in the control group were given regular and routine care, while those in FTR group were cared for with multimodal rehabilitation. Demographic and data, postoperative hospital stays, surgical and general complications were assessed.

Results: One hour postoperative body temperature was higher in FTR group than in the control, and the incidence of restlessness, pain and 24 hour postoperative nausea and vomiting were significantly lower (P < 0.05, P < 0.01). The hospital stays were shorter following the FTR, but the difference was not statistically significant as compared with the control.

Conclusion: FTR can effectively reduce the complications and promote the recovery of the orthopedic patient.