Back to Search
Start Over
Early Experiences with Ultra-Fast-Track Extubation after Surgery for Congenital Heart Disease at a Single Center
- Source :
- The Korean Journal of Thoracic and Cardiovascular Surgery, Korean Journal of Thoracic and Cardiovascular Surgery, Vol 51, Iss 4, Pp 247-253 (2018)
- Publication Year :
- 2018
- Publisher :
- The Korean Society for Thoracic and Cardiovascular Surgery, 2018.
-
Abstract
- Background: Early extubation after cardiovascular surgery has some clinical advantages, including reduced hospitalization costs. Herein, we review the results of ultra-fast-track (UFT) extubation, which refers to extubation performed on the operating table just after the operation, or within 1-2 hours after surgery, in patients with congenital cardiac disease. Methods: We performed UFT extubation in patients (n=72) with a relatively simple congenital cardiac defect or who underwent a simple operation starting in September 2016. To evaluate the feasibility and effectiveness of our recently introduced UFT extubation strategy, we retro-spectively reviewed 195 patients who underwent similar operations for similar diseases from September 2015 to September 2017, including the 1-year periods immediately before and after the introduction of the UFT extubation protocol. Propensity scores were used to assess the effects of UFT extubation on length of stay (LOS) in the intensive care unit (ICU), hospital LOS, and medical costs. Results: After propensity-score matching using logistic regression analysis, 47 patients were matched in each group. The mean ICU LOS (16.3±28.6 [UFT] vs. 28.0±16.8 [non-UFT] hours, p=0.018) was significantly shorter in the UFT group. The total medical costs (182.6±3.5 [UFT] vs. 187.1±55.6 [non-UFT] ×100,000 Korean won [KRW], p=0.639) and hospital stay expenses (48.3±13.6 [UFT] vs. 54.8±29.0 [non-UFT] ×100,000 KRW, p=0.164) did not significantly differ between the groups. Conclusion: UFT extubation decreased the ICU LOS and mechanical ventilation time, but was not associated with postoperative hospital LOS or medical expenses in patients with simple congenital cardiac disease.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Heart disease
Heart malformation
medicine.medical_treatment
lcsh:Surgery
030204 cardiovascular system & hematology
Single Center
law.invention
03 medical and health sciences
0302 clinical medicine
law
Clinical Research
medicine
Intensive care unit length of stay
Medical expenses
Congenital heart disease
Mechanical ventilation
business.industry
lcsh:RD1-811
medicine.disease
Operating table
Intensive care unit
Surgery
030228 respiratory system
Cardiothoracic surgery
Early extubation
Propensity score matching
Cardiology and Cardiovascular Medicine
business
Ultra-fast track
Subjects
Details
- Language :
- English
- ISSN :
- 20936516 and 2233601X
- Volume :
- 51
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The Korean Journal of Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....0528c2ccb773f40214eb480b3ba8ce56