Document Detail


Discharge independence with minimally invasive lobectomy.
MedLine Citation:
PMID:  15619486     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The effects of video-assisted thoracic surgery (VATS) pulmonary lobectomy on after-hospital care are not well known. METHODS: In a retrospective case-control study, 20 consecutive VATS cases were matched to 38 standard thoracotomies (open cases). RESULTS: Ages were 73.8 +/- 7.8 years with no initial differences between the groups. No hospital deaths occurred. Excluding 2 VATS and 6 open outliers, VATS cases had fewer hospital days (4.6 +/- 1.9 vs. 6.4 +/- 2.2, P <0.01), chest tube days (3.0 +/- 1.1 vs. 4.2 +/- 1.7, P = 0.01), and prolonged pain complaints (28% vs. 56%, P = 0.05). Transfer to care facilities or home nursing support was needed for 63% of open patients and only 20% of VATS patients (P = 0.015). Less personal care (10% vs. 21%), wound/medical care (0% vs. 13%), occupational/physical therapy (5% vs. 13%), or other home support (5% vs. 18%) was needed for VATS patients. CONCLUSIONS: In older populations, more independence and fewer resources after discharge favor VATS lobectomy over standard thoracotomy.
Authors:
Todd L Demmy; Andrew J Plante; Chukwumere E Nwogu; Hiroshi Takita; Timothy M Anderson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  188     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-27     Completed Date:  2005-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  698-702     Citation Subset:  AIM; IM    
Affiliation:
Department of Thoracic Surgery, Roswell Park Cancer Institute, Elm and Carlton St., Buffalo, NY 14263, USA. Todd.Demmy@roswellpark.org
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Case-Control Studies
Continuity of Patient Care / standards*,  trends
Female
Follow-Up Studies
Humans
Length of Stay
Lung Neoplasms / pathology,  surgery*
Male
Patient Discharge / standards*,  trends
Pneumonectomy / methods*
Postoperative Complications
Probability
Retrospective Studies
Sensitivity and Specificity
Surgical Procedures, Minimally Invasive / methods
Thoracic Surgery, Video-Assisted / adverse effects,  methods*
Thoracoscopy / methods*
Thoracotomy / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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