Why in Hospital After Wedge Resection

Rigshospitalet, Denmark150 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

150

Conditions

Thoracic Surgery, Video-Assisted Enhanced Recovery After Surgery

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Length of stay

Number of overnight stay

Time frame: Up to the day of discharge

Reasons for staying in hospital

patient-reported outcomes for why in hospital, including pain or social factors; postoperative complications, diagnosed by clinicians

Time frame: Up to the day of discharge

Secondary Outcomes

Postoperative pain scale

The pain scale (from 0 to 10) will be evaluated by patients.

Time frame: At the day of surgery

Duration of chest drain

Days of chest drain placed

Time frame: Up to the day of chest drain removed

Postoperative complications

Diagonosis is following ICD-10

Time frame: Up to postoperative day 30

30-day readmissions

Admission to hospital again within 30 days after surgery

Time frame: Up to postoperative day 30

Postoperative activity

Patients report whether they can stand up, walk within 6 meters, or walk over 6 meters, up to 3 and 6 hours after surgery

Time frame: At the day of surgery

Opioid usage

It is classified as opioid used and no opioid used

Time frame: At the day of surgery and at the day of discharge