Evolution of Process and Outcome Measures during an Enhanced Recovery after Thoracic Surgery Program
| Autor: | Alex Lee, Nazgol Seyednejad, Yaseen Al Lawati, Amanda Mattice, Caitlin Anstee, Mark Legacy, Sebastien Gilbert, Donna E. Maziak, Ramanadhan S. Sundaresan, Patrick J. Villeneuve, Calvin Thompson, Andrew J. E. Seely |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Chest Surgery, Vol 55, Iss 2, Pp 118-125 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2765-1606 2765-1614 |
| DOI: | 10.5090/jcs.21.139 |
| Popis: | Background: A time course analysis was undertaken to evaluate how perioperative process- of-care and outcome measures evolved after implementation of an enhanced recovery after thoracic surgery (ERATS) program. Methods: Outcome and process-of-care measures were compared between patients undergoing major elective thoracic surgery during a 9-month pre-ERATS implementation period to those at 1–3, 4–6, and 7–9 months post-ERATS implementation. Outcome measures included length of stay, the 30-day readmission rate, 30-day emergency department visits, and minor and major adverse events. Process measures included first time to activity, out-of-bed, ambulation, fluid diet, diet as tolerated, as well as removal of the first and last chest tube, epidural, patient-controlled analgesia, and Foley and intravenous catheters. Results: In total, 704 patients (352 pre-ERATS, 352 post-ERATS) were included. Mobilization- related process measures, including time to first activity (16.5 vs. 6.8 hours, p |
| Databáze: | Directory of Open Access Journals |
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