• Degenerative spine surgery patients

• Spine tumor surgical patients

• Spine trauma reconstruction patients

• Elderly requiring pre-op conditioning

• Neurosurgical ERAS-eligible cases

• Patients needing home care after discharge

Cathay General Hospital's Neurosurgery Department launched Enhanced Recovery After Surgery (ERAS) in 2016, formally implementing ERAS in spine surgery in 2020 and earning the international "ERAS Society Hospital Certification" in 2022. The team integrates neurosurgery, anesthesiology, rehabilitation, nursing, nutrition, pharmacy, PT/OT, and case managers, operating on three pillars: "Active Preparation, Planned Treatment, Proactive Recovery." Evidence-based interventions include pre-op conditioning, 2-hour pre-op polysaccharide drink, anesthesia depth monitoring, warming blanket, patient-controlled analgesia, and early mobilization/feeding. The Taiwan-first ERAS Smart Care APP implements 5-stage bidirectional management from pre-op to discharge. Since 2020, 121 spine surgeries completed: LOS reduced from 16 to 8 days, post-op complications from 5.6% to 0%, 30-day readmission from 2.7% to 0%, with 86% element protocol execution rate.

• Taiwan-first ERAS Smart Care APP

• 3 pillars: preparation, planning, recovery

• Hospital-level ERAS committee (TRM)

• Personalized home-based conditioning

• 5-stage bidirectional management platform

• Comprehensive multidisciplinary care

• Since 2020: 121 cumulative spine surgeries

• 8 surgical disciplines implementing ERAS

• Collected feedback from 37 experts + 10 patients

• Data collection completion: 99%

• Pre-admission prep time reduced 50%

• 1 hour saved in medical process

• LOS: 16 → 8 days (-8 days)

• Post-op complications: 5.6% → 0%

• 30-day readmission: 2.7% → 0%

• Element protocol execution: 86%

• Muscle endurance improved 10%

• Foley catheter removed 30 hours earlier

• Zero adverse events since 2020

• Major bleeding rate: 60‰ → 33‰

• Continuous decline in transfusion rate

• AQT precise intraoperative fluid control

• Polysaccharide drink reduces insulin resistance

• Antimicrobial soap prevents wound infection

• Nausea/vomiting reduced 50%

• Pain perception reduced 50%

• Mobilized 2.3 days earlier

• Normal eating restored 2 days earlier

• No longer fear of surgery

• Enhanced patient active participation

• 2022 International ERAS Hospital Certification

• First in Taiwan with complete ERAS process

• Sole Taiwan facility with >80% ERAS execution

• Sole Taiwan multidisciplinary ERAS service

• Aligned with ERAS Society standards

• Connects long-term care, reduces costs

• Increases bed turnover, raising hospital revenue

• Strengthens cross-team cohesion

• Boosts staff morale

• Realizes value-based healthcare