Leipzig FAST-TRACK Over 15 Years for Cardiac Surgical Patients

Retrospective Analysis of 15 Years of Leipzig Fast-Track Concept.

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05285098

Enrollment

20000

Registered

2022-03-17

Start date

2021-04-01

Completion date

2022-12-31

Last updated

2022-03-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-cardiac Surgery

Keywords

Fast track after cardiac surgery, ERAS cardiac surgery

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).

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* Adults \>18y

Exclusion criteria

* Incomplete data * Catheter-valve implantation

Design outcomes

Primary

Measure	Time frame	Description
FT evolution analysis in complexity	Novmber 2005- December 2020	Trends analysis in complexity ( using EUROSCORE II) against time (in years)
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)

Countries

Germany

Contacts

Primary ContactWaseem Zakhary, Dr.

waseemzakariaaziz.zakhary@medizin.uni-leipzig.de0049341865254024

Backup ContactJoerg Ender, Prof.

Joerg.ender@medizin.uni-leipzig.de00493418651407

Outcome results