Does fast-tracking increase the readmission rate after pulmonary resection? A case-matched study

摘要: OBJECTIVES: The most recent evolution of patient management after thoracic surgery implies the concept fast-tracking. Since 2008, our unit has implemented a programme based on clinical protocols and standardized pathways care aimed to reduce postoperative stay major lung resection. objective this study was verify safety policy by monitoring readmission rate. METHODS: This is prospective observational 914 consecutive pulmonary lobectomies performed at institution from January 2000 October 2010. we started fast-tracking program in divided patients into two groups: early period (678 patients, 2000–2007) (236 2008–October 2010). Several baseline operative factors were used build propensity score that applied match group with their counterparts. These matched groups then compared terms outcomes Readmission defined as re-hospitalization for any cause related operation within 30 days discharge. We excluded analysis those in-hospital mortality. RESULTS: Propensity yielded 232 well-matched pairs operated (non-fast-tracked patients) (fast-tracked patients). resulted reduction 2.8 (P< 0.0001), 3-fold higher proportion discharged before sixth day 0.0001). Nevertheless, did not observe differences rate between periods. CONCLUSIONS: In experience, implementation lobectomy very effective safe. It led hospital without an increase