Same Day Discharge for Wedge Resection

Lawson Health Research Institute

Status: Completed

Conditions: Minor; Surgery; Lung Cancer

Treatments: Other: same day discharge

Study type: Interventional

Funder types: Other

Identifiers

NCT05067738

v1.0 7 July 2021

Details and patient eligibility

About

Monitoring carefully selected participants to determine if participants can be safely discharged the same day of pulmonary resection

Full description

Determination of the feasibility of implementing a same day discharge program after minor pulmonary surgery. This will be determined by evaluating the percentage of participants who have chest tubes removed successfully, as well as evaluating the percentage of participants who would be classified as discharged on the day of surgery. The investigators will also be evaluating morbidity associated with this protocol by capturing rates of pleural reintervention.

Enrollment: 54 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patients aged 18 years of age and older who are scheduled to undergo an elective minimally invasive wedge resection of their lung.

Exclusion criteria

1. Pulmonary function tests demonstrating forced expiratory volume in 1 second (FEV1) <50% predicted, FEV1 <1.5L and/or diffusion lung capacity of carbon monoxide (DLCO) <50% predicted.
2. Patient receives an intraoperative pleurodesis.
3. Conversion to open thoracotomy or mini thoracotomy intraoperatively.
4. Active pregnancy.
5. Thoracic Revised Cardiac Risk Index Score (ThRCRI)8 >2.
6. Underlying cognitive disorder resulting in inability to complete activities of daily living.

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Sequential Assignment

Masking: None (Open label)

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54 participants in 1 patient group

Discharge

Other group

Description:

Phase 1-Patients will continue to be admitted after their surgery as is the current practice. Phase 2-Patients will have their chest tube removed once they meet chest tube removal criteria and will be discharged home once they meet discharge criteria.

Treatment:

Other: same day discharge