Immediate postoperative care in the general thoracic ward is safe for low-risk patients after lobectomy for lung cancer

Seong Yong Park, In Kyu Park, Yoo Hwa Hwang, Chun Sung Byun, Mi Kyung Bae, Chang Young Lee

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Following major lung resection, patients have routinely been monitored in the intensive care unit (ICU). Recently, however, patients are increasingly being placed in a general thoracic ward (GTW). We investigated the safety and efficacy of the GTW care after lobectomy for lung cancer. Materials and Methods: 316 patients who had undergone lobectomy for lung cancer were reviewed. These patients were divided into two groups: 275 patients were cared for in the ICU while 41 patients were care for in the GTW immediately post-operation. After propensity score matching, postoperative complications and hospital costs were analyzed. Risk factors for early complications were analyzed with the whole cohort. Results: Early complications (until the end of the first postoperative day) occurred in 11 (3.5%) patients. Late complications occurred in 42 patients (13.3%). After propensity score matching, the incidence of early complications, late complications, and mortality were not different between the two groups. The mean expense was higher in the ICU group. Risk factors for early complications were cardiac comorbidities and low expected forced expiratory volume in one second. The location of postoperative care had no influence on outcome. Conclusion: Immediate postoperative care after lobectomy for lung cancer in a GTW was safe and cost-effective without compromising outcomes in low-risk patients.

Original languageEnglish
Pages (from-to)229-235
Number of pages7
JournalKorean Journal of Thoracic and Cardiovascular Surgery
Volume44
Issue number3
DOIs
StatePublished - 1 Jun 2011

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Patients' Rooms
Postoperative Care
Lung Neoplasms
Thorax
Intensive Care Units
Propensity Score
Hospital Costs
Forced Expiratory Volume
Comorbidity
Patient Care
Safety
Costs and Cost Analysis
Lung
Mortality
Incidence

Keywords

  • Lobectomy
  • Postoperative care

Cite this

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title = "Immediate postoperative care in the general thoracic ward is safe for low-risk patients after lobectomy for lung cancer",
abstract = "Background: Following major lung resection, patients have routinely been monitored in the intensive care unit (ICU). Recently, however, patients are increasingly being placed in a general thoracic ward (GTW). We investigated the safety and efficacy of the GTW care after lobectomy for lung cancer. Materials and Methods: 316 patients who had undergone lobectomy for lung cancer were reviewed. These patients were divided into two groups: 275 patients were cared for in the ICU while 41 patients were care for in the GTW immediately post-operation. After propensity score matching, postoperative complications and hospital costs were analyzed. Risk factors for early complications were analyzed with the whole cohort. Results: Early complications (until the end of the first postoperative day) occurred in 11 (3.5{\%}) patients. Late complications occurred in 42 patients (13.3{\%}). After propensity score matching, the incidence of early complications, late complications, and mortality were not different between the two groups. The mean expense was higher in the ICU group. Risk factors for early complications were cardiac comorbidities and low expected forced expiratory volume in one second. The location of postoperative care had no influence on outcome. Conclusion: Immediate postoperative care after lobectomy for lung cancer in a GTW was safe and cost-effective without compromising outcomes in low-risk patients.",
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Immediate postoperative care in the general thoracic ward is safe for low-risk patients after lobectomy for lung cancer. / Park, Seong Yong; Park, In Kyu; Hwang, Yoo Hwa; Byun, Chun Sung; Bae, Mi Kyung; Lee, Chang Young.

In: Korean Journal of Thoracic and Cardiovascular Surgery, Vol. 44, No. 3, 01.06.2011, p. 229-235.

Research output: Contribution to journalArticle

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AU - Park, In Kyu

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AU - Bae, Mi Kyung

AU - Lee, Chang Young

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