Should Patients Walk From the Postanesthesia Care Unit to the General Ward After a Lumbar Discectomy? A Randomized Study

Qvarfordh, P.; Olsen, Karsten Skovgaard; Bendix, Tom; Esbensen, Bente Appel

doi:10.1016/j.jopan.2013.10.006

Cited by 12 publications

(23 citation statements)

References 16 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over half of studies involved interventions that were delivered during the preoperative phase of care (n=41, 48%); 13 studies delivered interventions during the intraoperative phase (n = 13, 15%); 24 , 26 , 31 , 43 , 46 , 51 , 74 , 75 , 86 , 92 , 97 , 99 , 101 13 studies (15%) delivered interventions solely in the postoperative phase, 36 , 39 , 44 , 47 , 48 , 60 , 66 , 68 , 73 , 77 , 82 , 90 , 107 Supplementary file 3 ; eight studies (9%) were based on interventions that were delivered during multiple phases of the perioperative pathway. 34 , 35 , 42 , 56 , 61 , 76 , 85 , 96 Almost half of the included studies assessed outcomes at multiple phases of the perioperative pathway (n = 34, 40%), whilst 24 studies (28%) assessed postoperative outcomes extending beyond the immediate PACU phase.…”

Section: Resultsmentioning

confidence: 99%

“…23,107 Other Clinical Outcomes A wide variety of other clinical practices were investigated as primary outcomes in the identified RCTs (Supplementary file 3). 25,27,28,30,33,45,47,52,60,68,75,77,78,95,101,102…”

Section: Patient and Parental Knowledgementioning

confidence: 99%

“…26,27,34,35,39,40,41,43,45,48,51,55,61,62,64,66,69,73,89,90,92,99,102,109 Five studies (6%) assessed outcomes only during the preoperative phase, 57,58,71,103,106 whilst only four studies assessed outcomes at a single phase of intraoperative care (n=4, 6%), 33,46,56,59,74 and seven studies assessed outcomes during PACU care only (n=7, 8%). 24,44,47,68,82,100,109 Issues Impacting Upon the Quality of Experimental Research Undertaken in the Perioperative Setting…”

Section: Phases Of Carementioning

confidence: 99%

See 2 more Smart Citations

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

View full text Add to dashboard Cite

Purpose: Nurses provide care at each phase of the complex, perioperative pathway and are well placed to identify areas of care requiring investigation in randomized controlled trials. Yet, currently, the scope of nurse-led randomized controlled trials conducted within the perioperative setting are unknown. This scoping review aims to identify areas of perioperative care in which nurse-led randomized controlled trials have been conducted, to identify issues impacting upon the quality of these trials and identify gaps for future investigation. Methods: This scoping review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches were conducted in PubMed, Embase, Cumulative Index for Nursing and Allied Health Literature and the Cochrane Central Register of Controlled Trials, with a date range of 2014-19. Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry. After title and abstract checking, full-text retrieval and data extraction, studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklists for randomized controlled trials. Data were synthesized according to the main objectives. Key information was tabulated. Results: From the 86 included studies, key areas where nurses have led randomized controlled trials include patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting; in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomization), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusion: Nurse-led randomized controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas and within different populations that have been neglected, such as in the population of older adults undergoing surgery.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Patient and Parental Knowledgementioning

confidence: 99%

Section: Phases Of Carementioning

confidence: 99%

See 1 more Smart Citation

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

View full text Add to dashboard Cite

show abstract

“…A further 63 articles were removed (abstracts (2); no control group or comparison data (8); not available in the English language (4); early mobilisation protocol not described or initiated later than postoperative day one (20); excluded study design (15); ambulatory surgery (4); excluded patient group (9); or neural mobilisation intervention (1). Four studies (five articles) that compared the effects of early mobilisation to no mobilisation [28,38,39,40,41] (Table 2), and nine studies that compared the implementation of a multimodal intervention that was inclusive of an early mobilisation protocol [21,24,42,43,44,45,46,47,48] (Table 3) were included in the results synthesis. The flowchart of the study selection process is presented in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…One randomised controlled trial [39], one ambispective study [38], one retrospective analysis [28] and one pilot randomised controlled trial [41] were yielded. The characteristics of these studies are summarised in Table 2 and their quality assessment scores in Appendix A.…”

Section: Resultsmentioning

confidence: 99%

What Is the Evidence for Early Mobilisation in Elective Spine Surgery? A Narrative Review

Burgess

Wainwright

2019

Healthcare

View full text Add to dashboard Cite

Early mobilisation is a cornerstone of Enhanced Recovery after Surgery (ERAS) and is encouraged following spinal procedures. However, evidence of its implementation is limited and there are no formal guidelines on optimal prescription. This narrative review aimed to evaluate the evidence for the effect of early mobilisation following elective spinal surgery on length of stay, postoperative complications, performance-based function and patient-reported outcomes. Four trials (five articles) that compared a specific protocol of early in-hospital mobilisation to no structured mobilisation or bed rest were selected for inclusion. Nine studies that investigated the implementation of a multimodal intervention that was inclusive of an early mobilisation protocol were also included. Results suggest that goal-directed early mobilisation, delivered using an evidence-based algorithm with a clear, procedure-specific inclusion and exclusion criteria, may reduce length of stay and complication rate. In addition, there is evidence to suggest improved performance-based and patient-reported outcomes when compared to bed rest following elective spinal surgery. Whilst this review reveals a lack of evidence to determine the exact details of which early mobilisation protocols are most effective, mobilisation on the day of surgery and ambulation from the first postoperative day is possible and should be the goal. Future work should aim to establish consensus-based, best practice guidelines on the optimal type and timing of mobilisation, and how this should be modified for different spinal procedures.

show abstract

ERAS and Spine Surgery

Staudt

Zhou

Wijesekera

et al. 2023

Treatment of Spine Disease in the Elderly

View full text Add to dashboard Cite

Should Patients Walk From the Postanesthesia Care Unit to the General Ward After a Lumbar Discectomy? A Randomized Study

Cited by 12 publications

References 16 publications

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

What Is the Evidence for Early Mobilisation in Elective Spine Surgery? A Narrative Review

ERAS and Spine Surgery

Contact Info

Product

Resources

About