This study aims to evaluate the clinical effectiveness of the Enhanced Recovery After Surgery (ERAS) program for pediatric lung surgery at our institution.
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.
Study Type
OBSERVATIONAL
Enrollment
100
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.
National Taiwan University Hospital
Taipei, Taiwan, Taiwan
Length of hospital stay
Number of days from index operation to hospital discharge
Time frame: Up to 30 days after surgery.
Postoperative complications
Incidence of postoperative complications, including prolonged air leak, pneumonia, surgical site infection, and other procedure-related events.
Time frame: Within 30 days after surgery.
Duration of urinary catheter placement
Number of days with indwelling urinary catheter postoperatively.
Time frame: From date of surgery to catheter removal (up to 30 days)
Duration of chest tube drainage
Number of days with thoracic drainage tube postoperatively.
Time frame: From date of surgery to chest tube removal (up to 30 days).
Intensive care unit stay
Number of days in ICU after surgery.
Time frame: From date of ICU admission to transfer out (up to 30 days).
Postoperative pain
Pain intensity assessed by numeric rating scale (NRS)
Time frame: Daily assessment up to 7 days postoperatively.
Postoperative analgesic use
Total analgesic consumption.
Time frame: Daily assessment up to 7 days postoperatively.
30-day readmission or emergency department visit
Incidence of unplanned readmission or emergency department visit within 30 days after discharge.
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Time frame: Within 30 days post-discharge.
Time to resumption of oral intake
Interval from surgery to first tolerated oral feeding.
Time frame: From date of surgery to initiation of oral intake (up to 7 days).
Hospital cost
Total hospitalization cost during the index admission.
Time frame: From date of admission to discharge, up to 30 days