Leipzig FAST-TRACK Over 15 Years for Cardiac Surgical Patients

• Conditions: Post-cardiac Surgery

• Registration Number: NCT05285098
• Lead Sponsor: Heart Center Leipzig - University Hospital

Brief Summary

Since November 2005, we are running a specialized post anesthetic care unit (PACU) in our tertiary, university affiliated high-volume heart centre. In our concept, we are bypassing ICU admission completely. The fast-track concept was initially applied to pre-selected elective patients undergoing low-risk operations. However, promising outcomes led to a more widespread utilization with more complex procedures. The aim of this study is to analyse the fast track evolutions.

Detailed Description

Fast Track Treatment includes many elements recommended by the ERAS Society for cardiac surgery(1). Since November 2005, we are running a specialized post anesthetic care unit (PACU) in our tertiary, university affiliated high-volume heart centre. In our concept, we are bypassing ICU admission completely. The patients are transferred from the operation room to the recovery room, extubated there within a short time, stabilized and transferred on the same day to intermediate care (IMC). Ideally, the patient will be transferred to the normal ward on the first postoperative day. The fast-track concept was initially applied to pre-selected elective patients undergoing low-risk operations. However, promising outcomes led to a more widespread utilization with more complex procedures. The aim of this study is to analyse the evolutions within the fast-track protocol over a period of 15 years (from November 2005 to December 2020).

Study Timeline

• Study Start: 2021-04-01
• Study First Submitted: 2022-01-31
• Status Verified: 2022-03
• Study First Submitted QC: 2022-03-16
• Last Update Submitted: 2022-03-16
• Study First Posted: 2022-03-17
• Last Update Posted: 2022-03-17
• Primary Completion: 2022-08-31
• Study Completion: 2022-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 20000

Inclusion Criteria

• Adults >18y

Exclusion Criteria

• Incomplete data
• Catheter-valve implantation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
FT evolution analysis in length of stay	Novmber 2005- December 2020	Trends analysis of length of stay ( in hospital and ICU in days) against time (in years)
FT evolution analysis in postoperative complications	Novmber 2005- December 2020	Trends analysis in postoperative complications ( cardiac, pulmonary, and neurological) in percentage against time ( in years)
FT evolution analysis in postoperative mortality rate	Novmber 2005- December 2020	Trends analysis of postoperative mortality rate ( in percentage) against time (in years)
FT evolution analysis in complexity	Novmber 2005- December 2020	Trends analysis in complexity ( using EUROSCORE II) against time (in years)

Trial Locations

Locations (1)

Leipzig Heart center; 🇩🇪 Leipzig, Sachsen, Germany