Why in Hospital After Wedge Resection

NCT06118593 | Completed DMC

• 1 other identifier: P-2022-238
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Thoracic Surgery, Video-Assisted; Enhanced Recovery After Surgery

Outcome Measures

Primary Outcomes (2)

• Length of stay

  Number of overnight stay

  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

  Up to the day of discharge

Secondary Outcomes (6)

• Postoperative pain scale

  At the day of surgery

• Duration of chest drain

  Up to the day of chest drain removed

• Postoperative complications

  Up to postoperative day 30

• 30-day readmissions

  Up to postoperative day 30

• Postoperative activity

  At the day of surgery

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent video-assisted thoracoscopic surgery wedge resection.

You may qualify if:

• Patients who underwent video-assisted thoracoscopic surgery wedge resection

You may not qualify if:

• \< 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

Sponsors & Collaborators

• Rigshospitalet, Denmark: lead

Study Sites (1)

Rigshospitalet

Copenhagen, 2100, Denmark

Location

Related Publications (1)

• Huang L, Kehlet H, Petersen RH. Why do patients stay in hospital after enhanced recovery thoracoscopic wedge resection? A prospective observational study. Eur J Cardiothorac Surg. 2024 Oct 1;66(4):ezae366. doi: 10.1093/ejcts/ezae366.

  PMID: 39374548 DERIVED

Study Officials

• René H Petersen

  Department of Cardiothoracic Surgery, Copenhagen University Hospital, Rigshospitalet

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Department of Cardiothoracic Surgery

Study Record Dates

• First Submitted: November 1, 2023
• First Posted: November 7, 2023
• Study Start: November 15, 2022
• Primary Completion: January 28, 2024
• Study Completion: January 28, 2024
• Last Updated: February 6, 2024

Record last verified: 2024-02

Locations

DK (1)