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Enhanced Recovery after Surgery for Lung Cancer Patients

BACKGROUND: Enhanced recovery after surgery (ERAS) is a perioperative treatment intended to speed up recovery of surgical patients. Pulmonary lobectomy is a high-risk procedure, which ERAS is intended to address. OBJECTIVE: We evaluated the application of ERAS to patients with lung cancer. INTERVENT...

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Detalles Bibliográficos
Autores principales: Chen, Feng, Wang, Gongchao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101475/
https://www.ncbi.nlm.nih.gov/pubmed/32258415
http://dx.doi.org/10.1515/med-2020-0029
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author Chen, Feng
Wang, Gongchao
author_facet Chen, Feng
Wang, Gongchao
author_sort Chen, Feng
collection PubMed
description BACKGROUND: Enhanced recovery after surgery (ERAS) is a perioperative treatment intended to speed up recovery of surgical patients. Pulmonary lobectomy is a high-risk procedure, which ERAS is intended to address. OBJECTIVE: We evaluated the application of ERAS to patients with lung cancer. INTERVENTIONS/METHODS: Of 337 patients who underwent pulmonary lobectomies for lung cancer at our hospital, 168 received traditional perioperative nursing, and 169 received ERAS. Their complication rates, numerical rating scale of pain (NRS), satisfaction with care, demographics and some inpatient indices before and after surgery were compared. RESULTS: The two groups did not significantly differ in general data or NRS score at 6 post-operative hours (P = 0.214) and 1 post-operative day (POD; P = 0.027). The ERAS group had lower incidence of postoperative lung complication (P = 0.008), shorter length of stay (P < 0.001), shorter enterokinesia recovery times (P < 0.001), lower hospitalization costs (P < 0.001), lower NRS scores at POD 2–5 (P < 0.001), higher nursing satisfaction (P < 0.001), and higher postoperative pulmonary function indices of maximal voluntary ventilation (MVV; P < 0.001), forced vital capacity (FVC; P = 0.002), and forced expiratory volume in 1 second (FEV1; P = 0.002) than did the traditional group. CONCLUSION: ERAS is applicable to lung surgery patients. IMPLICATIONS FOR PRACTICE: Applying ERAS to thoracic surgery patients can alleviate their postoperative pain, shorten enterokinesia recovery, lower postoperative complication incidence, reduce hospitalization expenses, and raise nursing satisfaction, thereby expediting recovery.
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spelling pubmed-71014752020-03-31 Enhanced Recovery after Surgery for Lung Cancer Patients Chen, Feng Wang, Gongchao Open Med (Wars) Research Article BACKGROUND: Enhanced recovery after surgery (ERAS) is a perioperative treatment intended to speed up recovery of surgical patients. Pulmonary lobectomy is a high-risk procedure, which ERAS is intended to address. OBJECTIVE: We evaluated the application of ERAS to patients with lung cancer. INTERVENTIONS/METHODS: Of 337 patients who underwent pulmonary lobectomies for lung cancer at our hospital, 168 received traditional perioperative nursing, and 169 received ERAS. Their complication rates, numerical rating scale of pain (NRS), satisfaction with care, demographics and some inpatient indices before and after surgery were compared. RESULTS: The two groups did not significantly differ in general data or NRS score at 6 post-operative hours (P = 0.214) and 1 post-operative day (POD; P = 0.027). The ERAS group had lower incidence of postoperative lung complication (P = 0.008), shorter length of stay (P < 0.001), shorter enterokinesia recovery times (P < 0.001), lower hospitalization costs (P < 0.001), lower NRS scores at POD 2–5 (P < 0.001), higher nursing satisfaction (P < 0.001), and higher postoperative pulmonary function indices of maximal voluntary ventilation (MVV; P < 0.001), forced vital capacity (FVC; P = 0.002), and forced expiratory volume in 1 second (FEV1; P = 0.002) than did the traditional group. CONCLUSION: ERAS is applicable to lung surgery patients. IMPLICATIONS FOR PRACTICE: Applying ERAS to thoracic surgery patients can alleviate their postoperative pain, shorten enterokinesia recovery, lower postoperative complication incidence, reduce hospitalization expenses, and raise nursing satisfaction, thereby expediting recovery. De Gruyter 2020-03-19 /pmc/articles/PMC7101475/ /pubmed/32258415 http://dx.doi.org/10.1515/med-2020-0029 Text en © 2020 Feng Chen and Gongchao Wang, published by De Gruyter http://creativecommons.org/licenses/by/4.0 This work is licensed under the Creative Commons Attribution 4.0 Public License.
spellingShingle Research Article
Chen, Feng
Wang, Gongchao
Enhanced Recovery after Surgery for Lung Cancer Patients
title Enhanced Recovery after Surgery for Lung Cancer Patients
title_full Enhanced Recovery after Surgery for Lung Cancer Patients
title_fullStr Enhanced Recovery after Surgery for Lung Cancer Patients
title_full_unstemmed Enhanced Recovery after Surgery for Lung Cancer Patients
title_short Enhanced Recovery after Surgery for Lung Cancer Patients
title_sort enhanced recovery after surgery for lung cancer patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101475/
https://www.ncbi.nlm.nih.gov/pubmed/32258415
http://dx.doi.org/10.1515/med-2020-0029
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