The Development of a Novel Same Day Discharge Program After Pulmonary Resection: A Safety and Feasibility Pilot Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Surgery
- Sponsor
- Lawson Health Research Institute
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Rate of successful same day discharge
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Monitoring carefully selected participants to determine if participants can be safely discharged the same day of pulmonary resection
Detailed Description
Determination of the feasibility of implementing a same day discharge program after minor pulmonary surgery. This will be determined by evaluating the percentage of participants who have chest tubes removed successfully, as well as evaluating the percentage of participants who would be classified as discharged on the day of surgery. The investigators will also be evaluating morbidity associated with this protocol by capturing rates of pleural reintervention.
Investigators
Rahul Nayak
Director of Research
Lawson Health Research Institute
Eligibility Criteria
Inclusion Criteria
- •Patients aged 18 years of age and older who are scheduled to undergo an elective minimally invasive wedge resection of their lung.
Exclusion Criteria
- •Pulmonary function tests demonstrating forced expiratory volume in 1 second (FEV1) \<50% predicted, FEV1 \<1.5L and/or diffusion lung capacity of carbon monoxide (DLCO) \<50% predicted.
- •Patient receives an intraoperative pleurodesis.
- •Conversion to open thoracotomy or mini thoracotomy intraoperatively.
- •Active pregnancy.
- •Thoracic Revised Cardiac Risk Index Score (ThRCRI)8 \>
- •Underlying cognitive disorder resulting in inability to complete activities of daily living.
Outcomes
Primary Outcomes
Rate of successful same day discharge
Time Frame: 2 years
These patients will have their chest tube removed once they meet chest tube removal criteria and will be discharged home once they meet discharge criteria.