Complex Spine Enhanced Recovery After Surgery (ERAS)

NCT ID: NCT04538092

Last Updated: 2023-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-14

Study Completion Date

2023-11-01

Brief Summary

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In the field of Adult Spinal Deformity (ASD), there are currently no standardized protocols for preoperative, intraoperative or post-operative care. New standards are being created for minimally invasive spine surgery within orthopedics and some neurosurgical centers. This study will evaluate the efficacy of an Enhanced Recovery After Surgery protocol for complex spine surgery performed for the treatment of ASD.

Detailed Description

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Purpose : In the field of Adult Spinal Deformity (ASD), there are currently no standardized protocols for preoperative, intraoperative or post-operative care. New standards are being created for minimally invasive spine surgery within orthopedics and some neurosurgical centers. This study will evaluate the efficacy of an Enhanced Recovery After Surgery protocol for complex spine surgery performed for the treatment of ASD.

Participants : Patients undergoing surgery aimed at treating adult spinal deformity are the subject of this research. This population was chosen as these procedures are often associated with prolonged length of stay (LOS), high post-operative narcotic use, and often require complex post-operative discharge planning.

Procedures : Patients undergoing surgery to address the complications of ASD present a unique challenge in that this patient population is diverse, and there are multiple operative procedures available to treat the same condition. Given that there are currently no accepted or recommended Enhanced Recovery After Surgery protocols for complex spine procedures, the investigators have developed an ERAS protocol at the University of North Carolina (UNC) in collaboration with the anesthesia department for the support of complex surgical patients.

Hypothesis: Implementing a multi-modal enhanced recovery after complex spine surgery protocol will improve patient measured outcomes and patient functional outcomes leading to a statistically significant reduction in LOS, post-operative pain, complication rate, cost.

Conditions

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Scoliosis Idiopathic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Standard post op complex spine orders placed for patients undergoing deformity correction

Group Type NO_INTERVENTION

No interventions assigned to this group

ERAS

Enhanced recovery after surgery protocol is applied to the patients undergoing deformity correction

Group Type EXPERIMENTAL

Enhanced Recovery After Surgery Protocol

Intervention Type OTHER

The investigators have developed an Enhanced Recovery After Surgery protocol for complex spine surgery at UNC. This study will help elucidate the effects of multiple interventions tailored to help patients recover from complex surgery.

Interventions

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Enhanced Recovery After Surgery Protocol

The investigators have developed an Enhanced Recovery After Surgery protocol for complex spine surgery at UNC. This study will help elucidate the effects of multiple interventions tailored to help patients recover from complex surgery.

Intervention Type OTHER

Other Intervention Names

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Preoperative education Preoperative nutrition Intraoperative analgesia Intraoperative fluid resuscitation Postoperative analgesic Postoperative mobilization Postoperative nutrition Preoperative screening Postoperative antibiotics Preoperative analgesia

Eligibility Criteria

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Inclusion Criteria

* Patients with a diagnosis of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) Scoliosis (M41.9) category.
* Patients undergoing a \> 5 level arthrodesis using one of the following Current Procedural Terminology (CPT) coded procedures 22534, 22585, 22614, 22632, 22634 with either 22842, 22853
* Cobb angle \> 10 degrees
* Failure of 3 months of conservative management

Exclusion Criteria

* Prior scoliosis surgery not performed at UNC Chapel Hill Hospital Facilities
* Deformity correction due to trauma
* History of neoplastic spine disease
* Patients with active osteomyelitis
* Patients with prior cement augmentation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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North Carolina Spine Society

UNKNOWN

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrew Abumoussa, MD MSc

Role: PRINCIPAL_INVESTIGATOR

University of North Carolina, Chapel Hill

Locations

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UNC Chapel Hill Hospital

Chapel Hill, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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20-1705

Identifier Type: -

Identifier Source: org_study_id

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