Congenital Heart Surgery with Fast Track Hospital Discharge.
- Author:
Jeong Ryul LEE
1
;
Dong Seop JEONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Children's Hospital, Korea. jrl@plaza.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Fast track;
Minimally invasive surgry
- MeSH:
Heart*;
Hospital Costs;
Humans;
Length of Stay;
Sternotomy;
Thoracic Surgery*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(1):41-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Recently, reports show that minimally invasive cardiac surgery is effective in shortening the hospital stay. We reviewed the patients who underwent repair of their congenital heart anomalies under ministernotomy approach and were discharged within 5 days. MATERIAL AND METHOD: In this study, we included two groups : Group I were 29 patients who underwent minimally invasive cardiac surgery from November 1998 to July 1999(FT group), and Group II were 29 patients who underwent cardiac surgery via median sternotomy from January 1997 to May 1997(conventional group). We compared these two groups. All patients had similar disease categories and underwent the operation by the same surgeon. RESULT: The mean hospital stay in FT group was significantly shorter than conventional group(4.5 vs. 9.1 days, p<0.05, n=29). No complications were found. However, the total mean hospital cost did not reach statistical difference(7,333,184 vs. 7,486,136 won, p>0.05, n=29). CONCLUSION: Our protocol of fast track hospital discharge could shorten the hospital stay without complications. However, the economic benefit remains to be determined.
