Does fast-tracking increase the readmission rate after pulmonary resection? A case-matched study

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Michele SalatiArmando Sabbatini

Abstract

The most recent evolution of patient management after thoracic surgery implies the concept of fast-tracking. Since 2008, our unit has implemented a programme based on clinical protocols and standardized pathways of care aimed to reduce the postoperative stay after major lung resection. The objective of this study was to verify the safety of this policy by monitoring the patient readmission rate. This is a prospective observational study on 914 consecutive pulmonary lobectomies performed at our institution from January 2000 to October 2010. Since we started the fast-tracking program in January 2008, we divided the patients into two groups: early period (678 patients, 2000-2007) and recent period (236 patients, 2008-October 2010). Several baseline and operative factors were used to build a propensity score that was applied to match the recent group patients with their early group counterparts. These two matched groups were then compared in terms of early outcomes and readmission rate. Readmission was defined as a re-hospitalization for any cause related to the operation within 30 days after discharge. We excluded from the analysis those patients with in-hospital mortality. Propensity score yielded 232 well-matched pairs operated ...Continue Reading

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Citations

Nov 11, 2015·The Journal of Thoracic and Cardiovascular Surgery·Julio F FioreLiane S Feldman
Sep 28, 2015·The Journal of Thoracic and Cardiovascular Surgery·Varun PuriBryan F Meyers
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Varun Puri
Dec 17, 2014·The Annals of Thoracic Surgery·Roland AssiAnthony W Kim
Jul 19, 2016·The International Journal of Biochemistry & Cell Biology·Gaetano RoccoAlfredo Budillon
Mar 8, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Erik M von MeyenfeldtRonald A M Damhuis
Dec 28, 2018·Current Opinion in Anaesthesiology·Tim J P Batchelor, Olle Ljungqvist
Mar 16, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Guillaume S ChevrollierNathaniel R Evans
Nov 5, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Erik M von MeyenfeldtHermien W H Schreurs
Nov 10, 2017·Current Opinion in Anaesthesiology·Stephen J ShepherdGuillermo Martinez
Sep 27, 2019·British Journal of Nursing : BJN·Maureen KingVerity Hunter
Oct 12, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Timothy J P BatchelorBabu Naidu
Mar 23, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michele SalatiMajed Refai
Jan 17, 2021·Anaesthesia Critical Care & Pain Medicine·Pascal BernaMarc Garnier
Oct 28, 2020·Perioperative Medicine·Federico PiccioniUNKNOWN AIPO, Associazione Italiana Pneumologi Ospedalieri; SIAARTI, Società Italiana di Anestesia Analgesia Rianimazione Terapia In
Jun 28, 2021·Revue des maladies respiratoires·A MoretP B Pagès
Apr 25, 2019·The Journal of Thoracic and Cardiovascular Surgery·David B NelsonDavid C Rice

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