Enhanced Recovery After Surgery, Thoracic Surgery, Video-Assisted
Conditions
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.
Interventions
None listed
Sponsors
Rigshospitalet, Denmark
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| Postoperative pain scale | At the day of surgery | The pain scale (from 0 to 10) will be evaluated by patients. |
| Opioid usage | At the day of surgery and at the day of discharge | It is classified as opioid used and no opioid used |
| 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 |
| Duration of chest drain | Up to the day of chest drain removed | Days of chest drain placed |
Countries
Denmark
Outcome results
None listed