Why in Hospital After Wedge Resection

Completed

• Conditions: Thoracic Surgery, Video-Assisted; Enhanced Recovery After Surgery

• Registration Number: NCT06118593
• Lead Sponsor: Rigshospitalet, Denmark

Brief Summary

In the realm of lung surgery, video-assisted thoracoscopic surgery (VATS) offers distinct advantages, including shorter hospital stays, reduced pain, improved quality of life, and increased postoperative mobility when compared to thoracotomy. Additionally, the enhanced recovery after surgery (ERAS) protocol in lung surgery, characterized by a comprehensive, multidisciplinary approach, have streamlined postoperative recovery, resulting in early discharge and diminished postoperative complications. However, drawing from our extensive experience with fully implemented ERAS VATS for patients undergoing pulmonary lobectomy, we observed that approximately 45% of patients did not experience early discharge.

Based on existing evidence, the length of stay (LOS) following wedge resection typically ranges from 3 to 6 days across various regions, including Europe, the United States, and China. However, there is a notable lack of procedure-specific data for ERAS VATS wedge resection to explore reasons of delaying discharge. This prompts us to undertake an investigation into individuals following pulmonary wedge resection under the same ERAS programs.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-11-15
• Study First Submitted: 2023-11-01
• Study First Submitted QC: 2023-11-01
• Study First Posted: 2023-11-07
• Primary Completion: 2024-01-28
• Study Completion: 2024-01-28
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-03
• Last Update Posted: 2024-02-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• Patients who underwent video-assisted thoracoscopic surgery wedge resection

Exclusion Criteria

• < 18 year old
• Unable to understand Danish
• No residence in the Eastern Denmark
• Transfer to anatomical resection or cancel surgery
• Reject to join or withdraw from the study

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Length of stay	Up to the day of discharge	Number of overnight stay
Reasons for staying in hospital	Up to the day of discharge	patient-reported outcomes for why in hospital, including pain or social factors; postoperative complications, diagnosed by clinicians

Secondary Outcome Measures

Name	Time	Method
Duration of chest drain	Up to the day of chest drain removed	Days of chest drain placed
Postoperative complications	Up to postoperative day 30	Diagonosis is following ICD-10
30-day readmissions	Up to postoperative day 30	Admission to hospital again within 30 days after surgery
Opioid usage	At the day of surgery and at the day of discharge	It is classified as opioid used and no opioid used
Postoperative pain scale	At the day of surgery	The pain scale (from 0 to 10) will be evaluated by patients.
Postoperative activity	At the day of surgery	Patients report whether they can stand up, walk within 6 meters, or walk over 6 meters, up to 3 and 6 hours after surgery

Trial Locations

Locations (1)

Rigshospitalet; 🇩🇰 Copenhagen, Denmark