The impact of enhanced recovery after surgery measures on postoperative recovery quality in patients after orthognathic surgery

doi:10.19438/j.cjoms.2025.06.007

Abstract

Abstract: PURPOSE: To compare the impact of different compliance rates of enhanced recovery after surgery (ERAS) measures on the postoperative recovery quality of patients undergoing orthognathic surgery. METHODS: A retrospective cohort study was conducted to collect the information of patients who underwent elective orthognathic surgery at the Third Affiliated Hospital of Air Force Military Medical University from September 2020 to February 2023. According to the compliance rate of ERAS measures, the patients were divided into two groups: the low compliance group (compliance rate <80%) and the high compliance group (compliance rate≥80%). Propensity score matching was used to match the two groups of patients, with 127 cases in each group after matching. The primary outcome was the 40-item recovery quality score scale (Quality of Recovery-40, QoR40) on the first postoperative day. Secondary outcomes included QoR40 scores on postoperative days 3, 5, 7, and 14, the pain scores one day after surgery, and the correlation between ERAS measures and the QoR40 score on the first postoperative day. RESULTS: The QoR40 scores on the first postoperative day in the high compliance group were significantly higher than those in the low compliance group (P<0.05). The comfort score in the five dimensions of the QoR40 score was higher and the pain scores was lower in the former group (P<0.05). There were no significant difference in QoR40 scores on postoperative days 3, 5, 7, and 14 between the two groups(P>0.05). The application of antibiotics during operation, maintenance of intravenous anesthesia, body temperature management, airway management, prevention and treatment of postoperative nausea and vomiting, no agitation during the recovery period, and early postoperative ambulation were positively correlated with the QoR40 score of patients one day after operation (P<0.05). CONCLUSIONS: With the compliance of ERAS measures higher than 80%, the quality of recovery and the comfort on the first postoperative day in patients undergoing orthognathic surgery is significantly enhanced.

Key words: Enhanced recovery after surgery, ERAS, Postoperative quality of recovery, Orthognathic surgery

CLC Number:

R782.2
R493

Liu Tiantian, Wu Yufei, Wang Xiaoxia, Zhang Ruibin, Xun Zemin, Zhang Hui. The impact of enhanced recovery after surgery measures on postoperative recovery quality in patients after orthognathic surgery[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(6): 578-585.

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