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The University of Oklahoma Inpatient Spine Protocol: optimizing surgical outcomes through standardized perioperative care.

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Τίτλος: The University of Oklahoma Inpatient Spine Protocol: optimizing surgical outcomes through standardized perioperative care.
Συγγραφείς: Barkyoumb D; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Kaiser WC; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Smith L; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.; Vanderbilt University, Nashville, TN, USA., Villeneuve LM; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Mulvaney G; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Li C; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Graffeo CS; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Bauer AM; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Shakir HJ; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Balsara K; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Janjua MB; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Burke JF; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Jea A; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA., Smith ZA; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. zachary-a-smith@ouhsc.edu.
Πηγή: GeroScience [Geroscience] 2026 Jun; Vol. 48 (3), pp. 4857-4872. Date of Electronic Publication: 2025 Aug 13.
Τύπος έκδοσης: Journal Article; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101686284 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2509-2723 (Electronic) Linking ISSN: 25092723 NLM ISO Abbreviation: Geroscience Subsets: MEDLINE
Imprint Name(s): Original Publication: Cham : Springer International Publishing, [2017]-
Ιατρικοί όροι (MeSH): Perioperative Care*/standards , Perioperative Care*/methods , Postoperative Complications*/prevention & control , Spine*/surgery , Clinical Protocols*, Humans ; Inpatients ; Treatment Outcome ; Checklist ; Female
Περίληψη: Standardized care delivery protocols have demonstrated substantial benefits across a range of surgical subspecialties, with growing evidence supporting their application to elective spinal surgery. At our institution, we have developed and implemented a comprehensive spine surgery protocol that spans both the ambulatory and inpatient phases of care. In this manuscript, we focus on our inpatient protocol, which incorporates a standardized checklist designed to reduce surgical morbidity and enhance patient outcomes. Key areas of focus include mitigation of surgical site infections, wound complications, decreasing opioid use and dependency, and accelerating functional recovery. Each intervention has been selected and is based upon evidence from the literature, clinical relevance, and feasibility, and is applied systematically across each phase of care: pre-incision, intraoperative, and postoperative phases. While the protocol is currently being piloted among high-risk patients, it is designed for future scalability and institution-wide integration. Importantly, although focused on the inpatient surgical episode, this portion of the protocol's benefits extends beyond hospitalization. By targeting the modifiable risk factors most closely associated with postoperative complications and readmissions, this protocol has the potential to reduce healthcare utilization and improve long-term outcomes. In doing so, it contributes meaningfully to the growing body of literature supporting standardized care protocols as a critical tool in delivering high-value, outcome-driven spine care.
(© 2025. The Author(s), under exclusive licence to American Aging Association.)
Competing Interests: Declarations. Consent for publication: All authors consent to the publication of this paper. Competing interests: The authors declare no competing interests.
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Contributed Indexing: Keywords: Complication reduction; ERAS; Elective spine surgery; Perioperative care; Protocol; Spine surgery
Entry Date(s): Date Created: 20250814 Date Completed: 20260714 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13356013
DOI: 10.1007/s11357-025-01826-z
PMID: 40804577
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:2509-2723
DOI:10.1007/s11357-025-01826-z