Readmission after enhanced recovery video-assisted thoracoscopic surgery wedge resection

Surgical Endoscopy(2024)

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摘要
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. 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. A total of 850 patients (non-small cell lung cancer 21.5
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关键词
Enhanced recovery after surgery,Video-assisted thoracoscopic surgery,Readmission,Pulmonary wedge resection,Postoperative adverse events
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