Effect of An Enhanced Recovery After Surgery （ERAS） Nursing Protocol on Perioperative Outcomes in Patients Undergoing Thrombectomy for Acute Pulmonary Embolism

Lei SONG; Ying YANG; Dongmei ZHUANG; Xunqiang LIU

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Lei SONG, Ying YANG, Dongmei ZHUANG, Xunqiang LIU. Effect of An Enhanced Recovery After Surgery （ERAS） Nursing Protocol on Perioperative Outcomes in Patients Undergoing Thrombectomy for Acute Pulmonary Embolism[J]. Journal of Kunming Medical University.

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Effect of An Enhanced Recovery After Surgery （ERAS） Nursing Protocol on Perioperative Outcomes in Patients Undergoing Thrombectomy for Acute Pulmonary Embolism

Department of General Surgery III，Yan’an Hospital Affiliated to Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2025-05-26
Available Online: 2025-09-15

Abstract

Abstract

Objective To develop a perioperative nursing protocol based on the Enhanced Recovery After Surgery （ERAS） philosophy for patients undergoing percutaneous pulmonary thrombectomy for acute pulmonary embolism （PE）, and to evaluate its clinical effectiveness. Methods A convenience sampling method was employed. Thirty patients admitted to the Third Department of General Surgery at Yan'an Hospital of Kunming from May 2023 to February 2024 were enrolled as the control group and received routine perioperative care. Another 30 patients admitted from March 2024 to December 2024 were enrolled as the experimental group and were managed according to the newly developed ERAS-based nursing protocol. The differences in length of hospital stay, quality of life （QoL）, complication rates, and 30-day unplanned readmission rates between the two groups were compared. Results A significant difference was observed in the total score of the Pulmonary Embolism Quality of Life （PEmbQoL） questionnaire between the experimental and control groups （t = -15.83, P < 0.01）. The score for the experimental group was 60.34 points lower than that of the control group, substantially exceeding the minimal clinically important difference （MCID） of 15 points. Analysis of specific dimensions showed that the experimental group had significant improvements （P < 0.01） in all six areas: symptom frequency （t = -8.188）, activity limitation （t = -8.722）, anxiety （t = -10.31）, social functioning （t = -9.118）, treatment satisfaction （t = -8.202）, and overall impact （t = -9.1）.The length of hospital stay was significantly shorter in the experimental group （7.57 ± 0.96 days） than in the control group （10.17 ± 2.44 days）（t = -5.456, P < 0.01）. No postoperative complications occurred in the experimental group （0/30）, whereas the incidence rate in the control group was 16.7% （5/30）, a statistically significant difference （χ² = 5.455, P < 0.05）. Furthermore, there were no 30-day readmissions in the experimental group （0/30）, compared to a rate of 13.3% （4/30） in the control group; this difference was also statistically significant （χ² = 4.286, P < 0.05）. Conclusion This study provides preliminary validation for the effectiveness of a multidisciplinary nursing protocol based on the ERAS philosophy for patients undergoing percutaneous pulmonary thrombectomy.
- Enhanced recovery after surgery,
- Multidisciplinary teamwork,
- Nursing protocol,
- Perioperative period

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References(33)

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