Thoracic Enhanced Recovery After Surgery: Single Academic Center Observations After Implementation
نویسندگان
چکیده
Background Enhanced recovery after surgery (ERAS) is an evidence-based, multidisciplinary perioperative care model shown to reduce complications and hospital length of stay (LOS). While some thoracic ERAS studies were inconclusive, others demonstrated that improves patient outcomes lung resections provides more cost-effective care. We aimed investigate the effects preliminary implementation protocol, in comparison with conventional care, on resection at a single academic institution. Methods In this observational study, adult patients undergoing during pre-ERAS (April 2014 September 2015) post-ERAS (January 2016 May 2017) periods identified. Relevant demographic, preoperative, anesthesia, surgical variables collected. Pre-ERAS cohorts compared terms LOS, postoperative complications, 30-day outcomes. Results identified 264 patients, half each cohort. groups similar respect age, race, comorbidities. There no significant differences readmission mortality rates, or patient-reported Of prolonged 31% had pulmonary almost which air leaks. adherence rate was approximately 60%. Conclusions first year implementation, median did not differ significantly between groups. Prolonged leaks commonly led LOS; therefore, protocols could include interventions leak consideration for discharging chest tubes placed Heimlich valves. Buy-in new protocol are necessary be effective.
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ژورنال
عنوان ژورنال: The Annals of Thoracic Surgery
سال: 2021
ISSN: ['1552-6259', '0003-4975']
DOI: https://doi.org/10.1016/j.athoracsur.2020.06.021