Injury · Oct 14, 2025

Observation of the impact of the ERAS-based multidisciplinary treatment model (MDT) on the perioperative management of elderly patients with hip fractures in primary hospitals

By Chen J, Wen Y

BACKGROUND: To explore the impact of the ERAS-based (Enhanced Recovery After Surgery) Multidisciplinary Treatment Model (MDT) on perioperative management indicators of elderly patients with hip fractures in primary hospitals. METHODS: A retrospective study was conducted on 120 elderly patients with hip fractures treated at our hospital from October 2020 to October 2024. The patients were divided into two groups: one group received the conventional model, while the other group received the ERAS-guided MDT model, with 58 and 62 patients in each group, respectively. Perioperative indicators and secondary outcomes (pain scores, symptom self-assessment scores, hip joint function, daily living abilities, and postoperative complication rates) were compared between the two groups. Data that met normality assumptions were compared using repeated measures ANOVA. RESULTS: Patients in the ERAS-MDT group had a shorter time to mobilization (16.55 ± 1.17 h) compared to the conventional group and walked for a longer duration daily (2.00 ± 0.66 h). Compared to preoperative, VAS (Visual Analog Scale) scores significantly decreased on postoperative day 7 in both groups (P < 0.05), with the ERAS-MDT group showing superior results (P < 0.05). At discharge, SCL-90 (Symptom Checklist-90) scores were significantly lower in the ERAS-MDT group compared to the conventional group (P < 0.05). Harris scores for hip function in the ERAS-MDT group were significantly higher than those in the conventional group at all time points (P < 0.05). Before intervention, there was no difference in daily living ability between the two groups (P > 0.05), but postoperative daily living abilities improved significantly in the ERAS-MDT group (P < 0.05). The complication rate during hospitalization was significantly lower in the ERAS-MDT group compared to the conventional group (P < 0.05). CONCLUSIONS: The ERAS-based MDT model has a potential impact on perioperative management indicators for elderly hip fracture patients in primary hospitals.

doi.org/10.1016/j.injury.2025.112812PubMed 41108798Interventions