Enhanced Recovery After Surgery, ERAS, Lung Surgery, Pediatric
Conditions
Keywords
Thoracoscopic, Partial resection, pediatric, infant, ERAS, VATS, lobectomy, segmentectomy
Brief summary
This study aims to evaluate the clinical effectiveness of the Enhanced Recovery After Surgery (ERAS) program for pediatric lung surgery at our institution.
Detailed description
Using a prospective cohort design, we will observe pediatric patients undergoing lung surgery following the implementation of the ERAS program as standard practice. Outcomes will be compared with a historical control group (2014-2023) to assess whether ERAS reduces hospital length of stay, lowers postoperative complication rates, accelerates recovery, and decreases healthcare costs.
Interventions
OTHEREnhanced Recovery After Surgery, ERAS
During the study period, all enrolled patients will be managed according to our institution's consensus checklist for pediatric lung surgery ERAS care. This includes ERAS education, preoperative assessment, fasting guidance, prophylaxis for nausea and vomiting, standardized anesthesia and surgical protocols, preference for minimally invasive surgery, multimodal postoperative analgesia, and encouragement of early oral intake and mobilization.
Sponsors
National Taiwan University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Children who underwent lung surgery at our hospital's Division of Pediatric Surgery
Exclusion criteria
* Patients who underwent multiple surgeries (including surgeries other than lung surgery) during the same hospitalization
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | Up to 30 days after surgery. | Number of days from index operation to hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | Within 30 days after surgery. | Incidence of postoperative complications, including prolonged air leak, pneumonia, surgical site infection, and other procedure-related events. |
| Duration of urinary catheter placement | From date of surgery to catheter removal (up to 30 days) | Number of days with indwelling urinary catheter postoperatively. |
| Duration of chest tube drainage | From date of surgery to chest tube removal (up to 30 days). | Number of days with thoracic drainage tube postoperatively. |
| Intensive care unit stay | From date of ICU admission to transfer out (up to 30 days). | Number of days in ICU after surgery. |
| Postoperative pain | Daily assessment up to 7 days postoperatively. | Pain intensity assessed by numeric rating scale (NRS) |
| Postoperative analgesic use | Daily assessment up to 7 days postoperatively. | Total analgesic consumption. |
| 30-day readmission or emergency department visit | Within 30 days post-discharge. | Incidence of unplanned readmission or emergency department visit within 30 days after discharge. |
| Time to resumption of oral intake | From date of surgery to initiation of oral intake (up to 7 days). | Interval from surgery to first tolerated oral feeding. |
| Hospital cost | From date of admission to discharge, up to 30 days | Total hospitalization cost during the index admission. |
Countries
Taiwan
Outcome results
None listed