Research Article

[Retracted] Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture

Table 1

Checklist for achieving ERAS management goals for patients with hip fracture.

Bed numberNameGenderAgeAdmission number
Diagnosis

Date of admissionDate of operationDate of discharge
Name of operationAnesthesia methodTotal hospitalization expenses

PreoperativeERAS-related measuresAchievement and remarksERAS-related measuresAchievement and remarks
Propaganda and education (ERAS, exercise, preoperative fasting, postoperative eating, pain, catheter, posture, and get out of bed activity)VTE prevention
(i) Fundamentals prevention
(ii) Stretch socks
(iii) Anticoagulant drug
Functional training (affected limb and lung function). Adaptive training (antidislocation posture, crutch, or help walking device)Fasting 6 hours and no drinking for 2 hours before surgery

Responsible nurseFinish date

PostoperativeERAS-related measuresAchievement and remarksERAS-related measuresAchievement and remarks
Day of surgery2-3 days after surgery
VTE preventionVTE prevention
(i) Fundamentals prevention(i) Fundamentals prevention
(ii) Stretch socks(ii) Stretch socks
(iii) Anticoagulant drug(iii) Anticoagulant drug
(iv) Ankle pump(iv) Ankle pump
(v) Quadriceps training
(v) Lower limb massage(vi) Knee bend training
(vii) Straight leg raise training
Water and food intake 1 h, 2 h, 3 h, and 4 h after surgeryWalk around in the wards using
(i) Help walking device
(ii) Crutch
Posture nursing (head and feet shaking high)Drainage tube at removal surgery
Pain managementBlood routine, electrolyte detection, liver function test, and X-ray test
(i) Oral painkiller
(ii) Intravenous painkiller
(iii) Analgesic pump
Negative pressure performed at 6 hours after the surgical drainage tubeNormal diet
1 day after surgery4 days after surgery
VTE preventionVTE prevention
(i) Fundamentals prevention(i) Fundamentals prevention
(ii) Stretch socks(ii) Stretch socks
(iii) Anticoagulant drug(iii) Anticoagulant drug
(iv) Ankle pump(iv) Ankle pump
(v) Quadriceps training(v) Quadriceps training
(vi) Knee bend training(vi) Knee bend training
(vii) Straight leg raise training(vii) Straight leg raise training
Get out of bed and stand usingWalk around in the wards using
(i) Help walking device(i) Help walking device
(ii) Crutch(ii) Crutch
Remove the ureterNormal diet
(i) Antemeridiem
(ii) Postmeridiem
Drainage tube at removal surgery
Blood routine, electrolyte detection, and liver function test
Normal diet

Responsible nurseFinish date

Fundamentals prevention: active exercise (ankle pump exercise), passive exercise (lower limb massage), lower limb elevation and warmth, turning over frequently, deep breathing exercise, avoiding lower limb puncture and infusion, and getting out of the bed as soon as possible if the condition permits. Upon admission to the hospital, patients with hip fracture should wear stretch socks on both lower limbs as instructed by the doctor, including during the traction period, during operation, and after surgery. Quadriceps training and straight leg elevation training: 20–30 times/group and 3–5 groups/d, based on the patient’s tolerance. Knee flexion training: take the supine position, slowly flex the knee 45°, hold the hip 25° for 5 seconds, then slowly straighten, 10 times/group, and 1-2 groups/d, from passive flexion to active flexion excessive flexion. The responsible nurse on the day before the operation will check and record preoperative condition and basic information, and the postoperative will be recorded by the responsible nurse on the day. Research completion: yes, “√;” no, “×” and indicate the reason.