Geriatrics & Gerontology International · Jul 2, 2025
Application effectiveness analysis of multidisciplinary collaboration within the Enhanced Recovery After Surgery concept in elderly patients undergoing hip fracture surgery
By Duan C, Che G, Yang L et al.
AIM: Hip fractures in the elderly pose significant health challenges, with high rates of morbidity and mortality. Enhanced Recovery After Surgery (ERAS) protocols offer a multidisciplinary approach, potentially improving outcomes in this demographic. Prior studies have examined ERAS in hip fractures, but important questions remain about how a well-organized team benefits perioperative management. This study assesses the effectiveness of ERAS in comparison to conventional surgical approaches for elderly patients with hip fracture. METHODS: A retrospective cohort study was conducted involving 203 patients aged 60-85 who underwent hip fracture surgery between January 2022 and January 2024. Patients were divided into a conventional group (n = 103) and an ERAS multidisciplinary collaboration group (n = 100). Key metrics included surgical outcomes, inflammatory response, recovery metrics, functional and mobility outcomes, quality of life measurements, readmission rates, nutritional status and psychosocial and cognitive outcomes. RESULTS: The ERAS group showed significantly reduced intraoperative blood loss (330.42 ± 45.36 mL vs. 350.75 ± 50.62 mL; P = 0.003), shorter hospital stays (6.65 ± 1.24 days vs. 7.32 ± 1.62 days; P = 0.001) and lowered surgical complication rates (13.00% vs. 24.27%; P = 0.040). Additionally, improvements were noted in inflammatory markers and functional outcomes, including subgroup analyses by age, quality-of-life scores and reduced readmission rates within 30 and 90 days. Psychosocial and cognitive measures also favored the ERAS group. CONCLUSION: Implementing ERAS protocols with a well-organized, multidisciplinary team in elderly patients with hip fracture significantly improves perioperative and postoperative outcomes. Geriatr Gerontol Int 2025; 25: 1089-1096.