Safety analysis of video-assisted thoracic surgery in Day Care Unit and the risk factors for delayed discharge
- VernacularTitle:日间胸腔镜手术患者围术期安全性及延迟出院危险因素分析
- Author:
Lu XU
1
;
Ziyun LU
1
;
Lihua QIU
1
;
Huaye XU
1
;
Tao WANG
2
;
Minke SHI
2
;
Zhengliang MA
1
;
Bingbing LI
1
Author Information
1. Anesthesia Surgery Department, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, 210009, P. R. China
2. General Thoracic Surgery Department, Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School, Nanjing, 210009, P. R. China
- Publication Type:Journal Article
- Keywords:
Day surgery;
video-assisted thoracic surgery;
enhanced recovery after surgery;
delayed discharge
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(04):551-555
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the perioperative safety of video-assisted thoracic surgery (VATS) in Day Care Unit and the risk factors for delayed discharge under centralized management model. Methods The patients with VATS managed by the Day Care Unit of the Drum Tower Hospital Affiliated to Nanjing University Medical School in 2021 were retrospectively collected. The patients’ postoperative data and risk factors for delayed discharge were analyzed. Results A total of 383 patients were enrolled, including 179 males and 204 females with an average age of 46.09±14.82 years. Eleven (2.87%) patients developed grade 3-4 postoperative complications during the hospitalization. Eighteen (4.70%) patients visited unscheduled outpatient clinic within 7 days, and 6 (1.57%) patients were re-hospitalized within 30 days after discharge. The remaining patients had no significant adverse events during the 30-day follow-up. The average length of hospital stay was 2.27±0.35 d. The length of hospital stay was over 48 h in 48 (12.53%) patients. The independent risk factor for delayed discharge was lobectomy or combined resection (OR=3.015, 95%CI 1.174-7.745, P=0.022). Conclusion VATS can be safely conducted under the centralized management in Day Care Unit. The risk factor for delayed discharge is the extent of surgical resection.
