Department of Surgery, Icahn School of Medicine at Mount Sinai, Oceanside, NY, USA.
Thoracic Surgical Oncology, Division of Cardiothoracic Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Oceanside, NY, USA.
Heart Lung Circ. 2021 Aug;30(8):1251-1255. doi: 10.1016/j.hlc.2021.01.014. Epub 2021 Mar 13.
Decreasing the length of stay after thoracic surgery provides both clinical and financial benefits to both the patient and the clinical system. Since 2017, our institution has seen advancements in the care of patients undergoing thoracic surgery after utilising our protocol Enhanced Recovery After Thoracic Surgery (ERATS).
The protocol we implemented is comprehensive, including the patient's pain management, thoracostomy tube drainage, physical therapy and rehabilitation, ventilator support and pulmonary care, as well as other features of preoperative, intraoperative, and postoperative care. In a retrospective review, we compared the overall length of stay prior to the protocol implementation to the length of stay after initiating the changes.
We identified a median decrease of 2 days (from 6 days to 4 days) following the implementation of this protocol for all types of thoracic surgical procedures (p<0.01).
Upon implementation of the ERATS protocol, we appreciated a decrease in the length of stay of thoracic surgery patients at our institution.
缩短胸外科手术后的住院时间，对患者和临床系统都具有临床和经济上的益处。自 2017 年以来，我们的机构在利用我们的增强型胸外科手术后恢复（ERATS）方案为接受胸外科手术的患者提供护理方面取得了进步。
我们实施的方案是全面的，包括患者的疼痛管理、胸腔引流管引流、物理治疗和康复、呼吸机支持和肺部护理，以及术前、术中、术后护理的其他方面。在回顾性研究中，我们比较了实施该方案之前的总住院时间和开始实施改变后的住院时间。
我们发现，所有类型的胸外科手术（p<0.01）实施该方案后，平均住院时间缩短了 2 天（从 6 天缩短至 4 天）。
在实施 ERATS 方案后，我们注意到我们机构的胸外科手术患者的住院时间缩短了。
