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This study aims to evaluate the clinical effectiveness of the Enhanced Recovery After Surgery (ERAS) program for pediatric lung surgery at our institution.
Using a prospective cohort design, we will observe pediatric patients undergoing lung surgery following the implementation of the ERAS program as standard practice. Outcomes will be compared with a historical control group (2014-2023) to assess whether ERAS reduces hospital length of stay, lowers postoperative complication rates, accelerates recovery, and decreases healthcare costs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced Recovery After Surgery, ERAS | During the study period, all enrolled patients will be managed according to our institution's consensus ERAS checklist for pediatric lung surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced Recovery After Surgery, ERAS | Other | During the study period, all enrolled patients will be managed according to our institution's consensus checklist for pediatric lung surgery ERAS care. This includes ERAS education, preoperative assessment, fasting guidance, prophylaxis for nausea and vomiting, standardized anesthesia and surgical protocols, preference for minimally invasive surgery, multimodal postoperative analgesia, and encouragement of early oral intake and mobilization. |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Number of days from index operation to hospital discharge | Up to 30 days after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative complications | Incidence of postoperative complications, including prolonged air leak, pneumonia, surgical site infection, and other procedure-related events. | Within 30 days after surgery. |
| Duration of urinary catheter placement |
| Measure | Description | Time Frame |
|---|---|---|
| ERAS protocol adherence rate | Proportion of ERAS protocol elements implemented per patient compared to total eligible elements. | Up to 30 days after surgery |
| Patient satisfaction with ERAS program | Satisfaction assessed by structured questionnaire at discharge. |
Inclusion Criteria:
Exclusion Criteria:
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Pediatric patients aged 0 to 18 years who underwent lung surgery at our institution. Eligible procedures were identified using treatment thoracoscopic lobectomy, thoracoscopic wedge or partial resection, and thoracoscopic segmentectomy.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | Taiwan | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Children 2021, 8(12), 1154 | ||
| 40778051 | Background | Ha D, Harris KT, Brockel MA, Rove KO. The role of enhanced recovery after surgery (ERAS) in promoting quality improvement and patient safety in pediatric urology. Front Urol. 2023 Sep 28;3:1275276. doi: 10.3389/fruro.2023.1275276. eCollection 2023. |
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|
Number of days with indwelling urinary catheter postoperatively.
| From date of surgery to catheter removal (up to 30 days) |
| Duration of chest tube drainage | Number of days with thoracic drainage tube postoperatively. | From date of surgery to chest tube removal (up to 30 days). |
| Intensive care unit stay | Number of days in ICU after surgery. | From date of ICU admission to transfer out (up to 30 days). |
| Postoperative pain | Pain intensity assessed by numeric rating scale (NRS) | Daily assessment up to 7 days postoperatively. |
| Postoperative analgesic use | Total analgesic consumption. | Daily assessment up to 7 days postoperatively. |
| 30-day readmission or emergency department visit | Incidence of unplanned readmission or emergency department visit within 30 days after discharge. | Within 30 days post-discharge. |
| Time to resumption of oral intake | Interval from surgery to first tolerated oral feeding. | From date of surgery to initiation of oral intake (up to 7 days). |
| Hospital cost | Total hospitalization cost during the index admission. | From date of admission to discharge, up to 30 days |
| Up to 30 days after surgery. |
| ID | Term |
|---|---|
| D000080482 | Enhanced Recovery After Surgery |
| ID | Term |
|---|---|
| D019990 | Perioperative Care |
| D013514 | Surgical Procedures, Operative |
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