Discharge independence with minimally invasive lobectomy.
Am J Surg
; 188(6): 698-702, 2004 Dec.
Article
em En
| MEDLINE
| ID: mdl-15619486
ABSTRACT
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Alta do Paciente
/
Pneumonectomia
/
Toracoscopia
/
Continuidade da Assistência ao Paciente
/
Cirurgia Torácica Vídeoassistida
/
Neoplasias Pulmonares
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2004
Tipo de documento:
Article