Kurzfassung

With implementation of a new treatment bundle in endoprothetic procedures (modified approaches in anesthesiology and surgery, pain therapy and early rehabilitation) University Medical Center Mainz further improves its strive for optimized patient-centered perioperative care. This approach puts emphasis both on patients’ comfort issues like early discharge and approved measures of perioperative treatment. An approach like this has been pioneered in the United States (PSH: perioperative...With implementation of a new treatment bundle in endoprothetic procedures (modified approaches in anesthesiology and surgery, pain therapy and early rehabilitation) University Medical Center Mainz further improves its strive for optimized patient-centered perioperative care. This approach puts emphasis both on patients’ comfort issues like early discharge and approved measures of perioperative treatment. An approach like this has been pioneered in the United States (PSH: perioperative surgical home), but has not been evaluated within the German framework of health service.
This pilot study compares aspects of process quality (reduction in induction time) and clinical quality measurements (sufficient pain therapy, mobilization success) in one group undergoing endoprothetic surgery after implementation of the new treatment bundle, and a control group before implementation of the treatment bundle. It is a monocenter study using matched-pair control. Matching criteria are age, sex, body mass index and ASA-PS class. A total of 34 patients will be enrolled.
Primary outcome is reduction in induction time, secondary outcomes are pain intensity and mobilization progress after the procedure. We hypothesize that the new treatment bundle reduces induction time by unchanged results for pain intensity and mobilization progress.

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