Same Day Discharge for Wedge Resection

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's54 enrolled

Overview

Monitoring carefully selected participants to determine if participants can be safely discharged the same day of pulmonary resection

Determination of the feasibility of implementing a same day discharge program after minor pulmonary surgery. This will be determined by evaluating the percentage of participants who have chest tubes removed successfully, as well as evaluating the percentage of participants who would be classified as discharged on the day of surgery. The investigators will also be evaluating morbidity associated with this protocol by capturing rates of pleural reintervention.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Surgery Minor Lung Cancer

Interventions

same day dischargeOTHER

same day discharge

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: Patients aged 18 years of age and older who are scheduled to undergo an elective minimally invasive wedge resection of their lung. Exclusion Criteria: 1. Pulmonary function tests demonstrating forced expiratory volume in 1 second (FEV1) \<50% predicted, FEV1 \<1.5L and/or diffusion lung capacity of carbon monoxide (DLCO) \<50% predicted. 2. Patient receives an intraoperative pleurodesis. 3. Conversion to open thoracotomy or mini thoracotomy intraoperatively. 4. Active pregnancy. 5. Thoracic Revised Cardiac Risk Index Score (ThRCRI)8 \>2. 6. Underlying cognitive disorder resulting in inability to complete activities of daily living.

Locations (1)

London Health Sciences Centre

London, Ontario, Canada

Outcomes

Primary Outcomes

Rate of successful same day discharge

These patients will have their chest tube removed once they meet chest tube removal criteria and will be discharged home once they meet discharge criteria.

Time frame: 2 years

Data from ClinicalTrials.gov

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