Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection. / Huang, Lin; Kehlet, Henrik; Petersen, René Horsleben.

In: Surgical Endoscopy, Vol. 38, No. 4, 04.2024, p. 1976-1985.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Huang, L, Kehlet, H & Petersen, RH 2024, 'Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection', Surgical Endoscopy, vol. 38, no. 4, pp. 1976-1985. https://doi.org/10.1007/s00464-024-10700-6

APA

Huang, L., Kehlet, H., & Petersen, R. H. (2024). Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection. Surgical Endoscopy, 38(4), 1976-1985. https://doi.org/10.1007/s00464-024-10700-6

Vancouver

Huang L, Kehlet H, Petersen RH. Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection. Surgical Endoscopy. 2024 Apr;38(4):1976-1985. https://doi.org/10.1007/s00464-024-10700-6

Author

Huang, Lin ; Kehlet, Henrik ; Petersen, René Horsleben. / Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection. In: Surgical Endoscopy. 2024 ; Vol. 38, No. 4. pp. 1976-1985.

Bibtex

@article{4efe72b03dcc4c669af7da2e33b8fe86,
title = "Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection",
abstract = "Background: Despite the implementation of Enhanced Recovery After Surgery (ERAS) programs, surgical stress continues to influence postoperative rehabilitation, including the period after discharge. However, there is a lack of data available beyond the point of discharge following video-assisted thoracoscopic surgery (VATS) wedge resection. Therefore, the objective of this study is to investigate incidence and risk factors for readmissions after ERAS VATS wedge resection. Methods: A retrospective analysis was performed on data from prospectively collected consecutive VATS wedge resections from June 2019 to June 2022. We evaluated main reasons related to wedge resection leading to 90-day readmission, early (occurring within 0–30 days postoperatively) and late readmission (occurring within 31–90 days postoperatively). To identify predictors for these readmissions, we utilized a logistic regression model for both univariable and multivariable analyses. Results: A total of 850 patients (non-small cell lung cancer 21.5%, metastasis 44.7%, benign 31.9%, and other lung cancers 1.9%) were included for the final analysis. Median length of stay was 1 day (IQR 1–2). During the postoperative 90 days, 86 patients (10.1%) were readmitted mostly due to pneumonia and pneumothorax. Among the cohort, 66 patients (7.8%) had early readmissions primarily due to pneumothorax and pneumonia, while 27 patients (3.2%) experienced late readmissions mainly due to pneumonia, with 7 (0.8%) patients experiencing both early and late readmissions. Multivariable analysis demonstrated that male gender, pulmonary complications, and neurological complications were associated with readmission. Conclusions: Readmission after VATS wedge resection remains significant despite an optimal ERAS program, with pneumonia and pneumothorax as the dominant reasons. Early readmission was primarily associated with pneumothorax and pneumonia, while late readmission correlated mainly with pneumonia.",
keywords = "Enhanced recovery after surgery, Postoperative adverse events, Pulmonary wedge resection, Readmission, Video-assisted thoracoscopic surgery",
author = "Lin Huang and Henrik Kehlet and Petersen, {Ren{\'e} Horsleben}",
note = "Funding Information: Open access funding provided by Copenhagen University. Post doc grant from Rigshospitalet (Lin Huang), grant from the Novo Nordisk Foundation (Ren{\'e} Horsleben Petersen). Publisher Copyright: {\textcopyright} The Author(s) 2024.",
year = "2024",
month = apr,
doi = "10.1007/s00464-024-10700-6",
language = "English",
volume = "38",
pages = "1976--1985",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer",
number = "4",

}

RIS

TY - JOUR

T1 - Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection

AU - Huang, Lin

AU - Kehlet, Henrik

AU - Petersen, René Horsleben

N1 - Funding Information: Open access funding provided by Copenhagen University. Post doc grant from Rigshospitalet (Lin Huang), grant from the Novo Nordisk Foundation (René Horsleben Petersen). Publisher Copyright: © The Author(s) 2024.

PY - 2024/4

Y1 - 2024/4

N2 - Background: Despite the implementation of Enhanced Recovery After Surgery (ERAS) programs, surgical stress continues to influence postoperative rehabilitation, including the period after discharge. However, there is a lack of data available beyond the point of discharge following video-assisted thoracoscopic surgery (VATS) wedge resection. Therefore, the objective of this study is to investigate incidence and risk factors for readmissions after ERAS VATS wedge resection. Methods: A retrospective analysis was performed on data from prospectively collected consecutive VATS wedge resections from June 2019 to June 2022. We evaluated main reasons related to wedge resection leading to 90-day readmission, early (occurring within 0–30 days postoperatively) and late readmission (occurring within 31–90 days postoperatively). To identify predictors for these readmissions, we utilized a logistic regression model for both univariable and multivariable analyses. Results: A total of 850 patients (non-small cell lung cancer 21.5%, metastasis 44.7%, benign 31.9%, and other lung cancers 1.9%) were included for the final analysis. Median length of stay was 1 day (IQR 1–2). During the postoperative 90 days, 86 patients (10.1%) were readmitted mostly due to pneumonia and pneumothorax. Among the cohort, 66 patients (7.8%) had early readmissions primarily due to pneumothorax and pneumonia, while 27 patients (3.2%) experienced late readmissions mainly due to pneumonia, with 7 (0.8%) patients experiencing both early and late readmissions. Multivariable analysis demonstrated that male gender, pulmonary complications, and neurological complications were associated with readmission. Conclusions: Readmission after VATS wedge resection remains significant despite an optimal ERAS program, with pneumonia and pneumothorax as the dominant reasons. Early readmission was primarily associated with pneumothorax and pneumonia, while late readmission correlated mainly with pneumonia.

AB - Background: Despite the implementation of Enhanced Recovery After Surgery (ERAS) programs, surgical stress continues to influence postoperative rehabilitation, including the period after discharge. However, there is a lack of data available beyond the point of discharge following video-assisted thoracoscopic surgery (VATS) wedge resection. Therefore, the objective of this study is to investigate incidence and risk factors for readmissions after ERAS VATS wedge resection. Methods: A retrospective analysis was performed on data from prospectively collected consecutive VATS wedge resections from June 2019 to June 2022. We evaluated main reasons related to wedge resection leading to 90-day readmission, early (occurring within 0–30 days postoperatively) and late readmission (occurring within 31–90 days postoperatively). To identify predictors for these readmissions, we utilized a logistic regression model for both univariable and multivariable analyses. Results: A total of 850 patients (non-small cell lung cancer 21.5%, metastasis 44.7%, benign 31.9%, and other lung cancers 1.9%) were included for the final analysis. Median length of stay was 1 day (IQR 1–2). During the postoperative 90 days, 86 patients (10.1%) were readmitted mostly due to pneumonia and pneumothorax. Among the cohort, 66 patients (7.8%) had early readmissions primarily due to pneumothorax and pneumonia, while 27 patients (3.2%) experienced late readmissions mainly due to pneumonia, with 7 (0.8%) patients experiencing both early and late readmissions. Multivariable analysis demonstrated that male gender, pulmonary complications, and neurological complications were associated with readmission. Conclusions: Readmission after VATS wedge resection remains significant despite an optimal ERAS program, with pneumonia and pneumothorax as the dominant reasons. Early readmission was primarily associated with pneumothorax and pneumonia, while late readmission correlated mainly with pneumonia.

KW - Enhanced recovery after surgery

KW - Postoperative adverse events

KW - Pulmonary wedge resection

KW - Readmission

KW - Video-assisted thoracoscopic surgery

UR - http://www.scopus.com/inward/record.url?scp=85185341117&partnerID=8YFLogxK

U2 - 10.1007/s00464-024-10700-6

DO - 10.1007/s00464-024-10700-6

M3 - Journal article

C2 - 38379006

AN - SCOPUS:85185341117

VL - 38

SP - 1976

EP - 1985

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 4

ER -

ID: 387985325