Why in Hospital After ERAS VATS Wedge Resection
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Length of stay
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who underwent video-assisted thoracoscopic surgery wedge resection
排除标准
- •< 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
结局指标
主要结局
Length of stay
时间窗: Up to the day of discharge
Number of overnight stay
Reasons for staying in hospital
时间窗: Up to the day of discharge
patient-reported outcomes for why in hospital, including pain or social factors; postoperative complications, diagnosed by clinicians
次要结局
- Duration of chest drain(Up to the day of chest drain removed)
- Postoperative complications(Up to postoperative day 30)
- 30-day readmissions(Up to postoperative day 30)
- Opioid usage(At the day of surgery and at the day of discharge)
- Postoperative pain scale(At the day of surgery)
- Postoperative activity(At the day of surgery)
研究者
Lin Huang
Department of Cardiothoracic Surgery
Rigshospitalet, Denmark