Evidence map›Paper›PMID 40281425›Full record

Trial reportBMC geriatrics2025

Enhanced recovery after surgery: nursing strategy for total hip arthroplasty in older adult patients.

Guifang Liu, Ling Li, Jiashuo Deng, Lin Cai, Ruolin He

Abstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Guifang LiuDepartment of Orthopedics, External hand trauma ward, Linquan County People's Hospital, Fuyang City, 236400, Anhui province, China. DocGFliu2024@126.com.
Ling LiDepartment of Orthopedics, External hand trauma ward, Linquan County People's Hospital, Fuyang City, 236400, Anhui province, China.
Jiashuo DengBengbu Medical University, Bengbu, 233030, Anhui Province, China.
Lin CaiDepartment of Orthopedics, External hand trauma ward, Linquan County People's Hospital, Fuyang City, 236400, Anhui province, China.
Ruolin HeDepartment of Orthopedics, External hand trauma ward, Linquan County People's Hospital, Fuyang City, 236400, Anhui province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of total hip arthroplasty (THA) is dramatically increasing, particularly in older adults. Enhanced recovery after surgery (ERAS) has been used in the postoperative care of patients undergoing surgical treatment.

aimsThis study compared the effects of ERAS and regular nursing on older adult patients undergoing THA to evaluate ERAS's potential in patients' postoperative care.

methodsNinety older adult patients (age ≥ 60 years) who underwent THA were enrolled and randomly divided into two groups: regular and ERAS nursing strategies. The ERAS nursing strategy was optimized based on regular nursing in terms of pain management, nutrition management, intestinal preparation, drainage tube nursing, catheter nursing, and normothermia maintenance. The efficiency of the two nursing strategies was evaluated from the perspectives of postoperative pain, hospitalization conditions, hip function, daily life ability, complications, and satisfaction.

resultsThe ERAS group showed earlier first aerofluxus, getting out of bed, and defecation; the moving distance after getting out of bed was greater than that in the regular group. The removal of urinary and drainage tubes was also earlier in the ERAS group than in the regular group. ERAS significantly alleviated postoperative pain, increased Harris scores and the Barthel index, reduced hospitalization duration and expenses, and lowered the occurrence of complications. The ERAS group also showed higher satisfaction levels than the regular group.

conclusionsThis single-blind randomized controlled trial showed that the ERAS nursing strategy reduced pain, length and cost of hospital stay, and incidence of complications after THA compared with regular care. Therefore, ERAS nursing strategies are recommended to improve the postoperative recovery rates in older adult patients undergoing THA.

Indexed as

Arthroplasty, Replacement, HipEnhanced Recovery After SurgeryPostoperative CareRecovery of FunctionAgedAged, 80 and overFemaleHumansMaleMiddle AgedAbility to daily lifeHip functionHospitalizationPostoperative nursingVAS

Identifiers

PMID40281425
PMCPMC12032738

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.