Retrospective Analysis of 15 Years of Leipzig "Fast-Track" Concept.
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 20,000
- 试验地点
- 1
- 主要终点
- FT evolution analysis in length of stay
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
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
- •Adults >18y
排除标准
- •Incomplete data
- •Catheter-valve implantation
结局指标
主要结局
FT evolution analysis in length of stay
时间窗: 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
时间窗: 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
时间窗: Novmber 2005- December 2020
Trends analysis of postoperative mortality rate ( in percentage) against time (in years)
FT evolution analysis in complexity
时间窗: Novmber 2005- December 2020
Trends analysis in complexity ( using EUROSCORE II) against time (in years)
次要结局
未报告次要终点