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Rigshospitalet - a part of Copenhagen University Hospital
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Early and late readmissions after enhanced recovery thoracoscopic lobectomy

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  1. Assessing VATS competence based on simulated lobectomies of all five lung lobes

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Udfordringer for perioperativ glykæmisk kontrol hos patienter med diabetes

    Research output: Contribution to journalReviewpeer-review

  3. Hospital stay after video-assisted thoracoscopic surgery

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Postoperative cognitive dysfunction: time for enhanced recovery after surgery programmes

    Research output: Contribution to journalEditorialpeer-review

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OBJECTIVES: The purpose of this study was to describe the incidence of and reasons for early (0-30 days) and late (31-90 days) readmissions after enhanced recovery video-assisted thoracoscopic surgery lobectomy.

METHODS: We performed a retrospective analysis of prospectively collected consecutive VATS lobectomy data in an institutional database from January 2019 through December 2020. All reasons for readmission with complete follow-up were individually evaluated. Univariable and multivariable analyses were used to assess predictors.

RESULTS: In total, 508 patients were included; the median length of stay after the operation was 3 days. There were 77 (15%) early and 54 (11%) late readmissions, respectively. There were 33 (7%) multiple readmissions during postoperative days 0-90 ; pneumonia (19.8%) and pneumothorax (18.3%) were the dominant reasons for early readmissions, and the side effects of adjuvant chemotherapy (22.0%), for late readmissions. In multivariable analyses, current smoking (P = 0.001), alcohol abuse (P = 0.024) and chronic obstructive pulmonary disease (P = 0.019) were predictors of early readmissions, whereas Clavien-Dindo I-II grade gastrointestinal complications predicted late readmissions (P = 0.006) and multiple readmissions (P = 0.007). Early discharge (< 3 days) was not a predictor of readmissions. Early readmission did not increase late readmission.

CONCLUSIONS: Early and late readmissions after video-assisted thoracoscopic lobectomy are frequent even when enhanced recovery programmes are followed. Pulmonary complications and adjuvant chemotherapy are the most predominant reasons for early and late readmissions.

Original languageEnglish
Article numberezac385
JournalEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Volume62
Issue number3
ISSN1010-7940
DOIs
Publication statusPublished - 3 Aug 2022

Bibliographical note

© The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

    Research areas

  • Humans, Length of Stay, Lung Neoplasms/etiology, Patient Readmission, Pneumonectomy/adverse effects, Postoperative Complications/etiology, Retrospective Studies, Thoracic Surgery, Video-Assisted/adverse effects

ID: 79741804