Preoperative respiratory intervention eliminated the operation cancelations of lobectomy surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-04-18

AUTHORS

Eriho Yamaguchi, Yasushi Obase, Susumu Fukahori, Jun Iriki, Tetsuya Kawano, Noriho Sakamoto, Ryoichiro Doi, Keitaro Matsumoto, Tomoshi Tsuchiya, Chizu Fukushima, Takehiro Matsumoto, Takeshi Nagayasu, Hiroshi Mukae

ABSTRACT

In Nagasaki University Hospital, the patients undergoing surgery with abnormal respiratory function have been automatically referred to specialized clinic by Medical Support Center (MSC) since July 2016 to reduce surgery cancellations due to insufficient preoperative evaluation. Whether the MSC system decreased post-hospital surgery cancellation, variance rate, or length of hospital stays in patients received “lobectomy” were retrospectively compared between Period A (n = 264, before MSC introduction) and Period B (n = 264, after MSC introduction). Four patients’ operations were cancelled after hospitalization in Period A, while 0 patients in Period B (p < 0.05). The length of hospital stay, operation time, anesthesia time, and postoperative extubation oxygen administration time were all shorten in Period B significantly. “Period B”, “operation time”, and “postoperation oxygenation time” were independent factors for “hospital days”, but chronic obstructive pulmonary disease or age were not. The preoperative intervention eliminated the operation cancellation. Preoperative MSC interventions may have contributed to the reduction in hospital days even for the patients with pulmonary dysfunction. More... »

PAGES

29

References to SciGraph publications

  • 2007-10-18. Video-assisted thoracic surgery (VATS) of the lung in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10916-022-01811-5

    DOI

    http://dx.doi.org/10.1007/s10916-022-01811-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1147186736

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35435519


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