{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:33:35Z","timestamp":1790354015063,"version":"4.1.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"37","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,12]]},"abstract":"<jats:p>\n                    Pediatric supracondylar humerus fractures can lead to joint stiffness, muscle contractures, and functional limitations, severely affecting children\u2019s quality of life. This study evaluates the impact of an enhanced recovery after surgery (ERAS) care program on postoperative rehabilitation in such fractures. In this retrospective cohort study, 100 children who underwent surgery for supracondylar humerus fractures between March 2021 and May 2024 were divided into 2 groups: an ERAS care group (n\u2005=\u200550) and a conventional care group (n\u2005=\u200550) based on the nursing protocols received. The outcomes measured included pain scores (visual analog scale), postoperative hospitalization time, complication rates, elbow function recovery (Flynn score), and nursing satisfaction. The ERAS group demonstrated significantly lower pain scores at 3 and 7 days postoperatively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05), with no significant difference at 24 hours postoperatively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&gt;\u2005.05). Additionally, the ERAS group had significantly better outcomes in postoperative hospitalization time, total complication rates, elbow function recovery, and nursing satisfaction compared to the conventional care group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05). This study indicates that the ERAS nursing program effectively promotes postoperative rehabilitation in pediatric supracondylar humerus fractures and holds significant clinical value. Future studies should explore the effects and mechanisms of ERAS care in larger prospective cohorts.\n                  <\/jats:p>","DOI":"10.1097\/md.0000000000044288","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T21:03:03Z","timestamp":1757970183000},"page":"e44288","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of enhanced recovery after surgery care in postoperative rehabilitation of pediatric supracondylar humerus fractures: A retrospective cohort study"],"prefix":"10.1097","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6437-7477","authenticated-orcid":false,"given":"Hongli","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260923","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s00590-021-02932-2","article-title":"Overview of the contemporary management of supracondylar humeral fractures in children.","volume":"31","author":"Duffy","year":"2021","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"R2-20260923","first-page":"394","article-title":"Epidemiological study on supracondylar fractures of distal humerus in pediatric patients.","volume":"63","author":"Aparicio Mart\u00ednez","year":"2019","journal-title":"Rev Esp Cir Ortop Traumatol (Engl Ed)"},{"key":"R3-20260923","first-page":"e7734","article-title":"Epidemiological analysis of displaced supracondylar fractures.","volume":"12","author":"Pilla","year":"2020","journal-title":"Cureus"},{"key":"R4-20260923","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s11832-014-0577-0","article-title":"Paediatric supracondylar humeral fractures: epidemiology, mechanisms and incidence during school holidays.","volume":"8","author":"Barr","year":"2014","journal-title":"J Child Orthop"},{"key":"R5-20260923","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11751-010-0091-y","article-title":"Does open reduction and pinning affect outcome in severely displaced supracondylar humeral fractures in children? A systematic review.","volume":"5","author":"Pretell-Mazzini","year":"2010","journal-title":"Strategies Trauma Limb Reconstr"},{"key":"R6-20260923","doi-asserted-by":"crossref","first-page":"4069","DOI":"10.3889\/oamjms.2019.814","article-title":"Elbow fracture in children at Saiful Anwar General Hospital, nine years experiences.","volume":"7","author":"Sananta","year":"2019","journal-title":"Open Access Maced J Med Sci"},{"key":"R7-20260923","first-page":"63","article-title":"Epidemiological features of supracondylar fractures of the humerus in Chinese children.","volume":"10","author":"Cheng","year":"2001","journal-title":"J Pediatr Orthop B"},{"key":"R8-20260923","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1007\/s00264-008-0668-y","article-title":"Treatment of supracondylar fractures of the humerus in children through an anterior approach is a safe and effective method.","volume":"33","author":"Ersan","year":"2009","journal-title":"Int 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Surg"},{"key":"R12-20260923","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1177\/0148607114523451","article-title":"ERAS \u2013 enhanced recovery after surgery: moving evidence-based perioperative care to practice.","volume":"38","author":"Ljungqvist","year":"2014","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"R13-20260923","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1111\/aas.12601","article-title":"Enhanced recovery after surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations.","volume":"59","author":"Scott","year":"2015","journal-title":"Acta Anaesthesiol Scand"},{"key":"R14-20260923","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.bpa.2015.11.001","article-title":"Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery.","volume":"30","author":"Wainwright","year":"2016","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"R15-20260923","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/SLA.0b013e31817f2c1a","article-title":"Evidence-based surgical care and the evolution of fast-track surgery.","volume":"248","author":"Kehlet","year":"2008","journal-title":"Ann Surg"},{"key":"R16-20260923","doi-asserted-by":"crossref","first-page":"2393","DOI":"10.1080\/02648725.2023.2199541","article-title":"Clinical effect of \u201cfast-track management\u201d guided by ERAS concept under the multi-disciplinary cooperation mode of femoral intertrochanteric fracture in the elderly.","volume":"40","author":"Li","year":"2024","journal-title":"Biotechnol Genet Eng Rev"},{"key":"R17-20260923","doi-asserted-by":"crossref","first-page":"3458056","DOI":"10.1155\/2022\/3458056","article-title":"Perioperative protocol of ankle fracture and distal radius fracture based on enhanced recovery after surgery program: a multicenter prospective clinical controlled study.","volume":"2022","author":"Li","year":"2022","journal-title":"Pain Res Manag"},{"key":"R18-20260923","doi-asserted-by":"crossref","first-page":"3231","DOI":"10.62347\/AEVL7890","article-title":"Enhanced recovery after surgery speeds up healing for hip fracture patients.","volume":"16","author":"Long","year":"2024","journal-title":"Am J Transl Res"},{"key":"R19-20260923","doi-asserted-by":"crossref","first-page":"411","DOI":"10.3390\/jpm14040411","article-title":"Cryoanalgesia as the essential element of enhanced recovery after surgery (ERAS) in children undergoing thoracic surgery \u2013 a scoping review.","volume":"14","author":"Zacha","year":"2024","journal-title":"J Pers Med"},{"key":"R20-20260923","first-page":"101273","article-title":"Effect of transcutaneous electrical acupoint stimulation on postoperative pain in pediatric orthopedic surgery with the enhanced recovery after surgery protocol: a prospective, randomized controlled trial.","volume":"42","author":"Li","year":"2023","journal-title":"Anaesth Crit Care Pain Med"},{"key":"R21-20260923","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/BPB.0000000000001105","article-title":"Short-term outcomes of an enhanced recovery after surgery pathway for children with congenital scoliosis undergoing posterior spinal fusion: a case-control study of 70 patients.","volume":"33","author":"Zhang","year":"2024","journal-title":"J Pediatr Orthop B"},{"key":"R22-20260923","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1186\/s12891-022-05675-1","article-title":"Evaluation of open reduction of distal humerus fractures in children after implementation of an enhanced recovery after surgery program.","volume":"23","author":"Lu","year":"2022","journal-title":"BMC Musculoskelet Disord"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000044288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:02:13Z","timestamp":1790186533000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000044288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,12]]},"references-count":22,"journal-issue":{"issue":"37","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000044288","relation":{},"ISSN":["1536-5964","0025-7974"],"issn-type":[{"value":"1536-5964","type":"electronic"},{"value":"0025-7974","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9,12]]},"assertion":[{"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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