Association Between Patient Physical Function and Length of Stay After Thoracoscopic Lung Cancer Surgery

Valsangkar, Nakul P.; Wei, Junhao; Binongo, José; Pickens, Allan; Sancheti, Manu S.; Force, Seth D.; Gillespie, Theresa W.; Fernández, Félix G.; Khullar, Onkar V.

doi:10.1053/j.semtcvs.2020.10.003

Cited by 10 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 19 ) Early postoperative rehabilitation for these patients has been reported to improve physical function, prevent postoperative complications, and reduce the hospital LOS. 20 , 21 , 22 ) Early postoperative rehabilitation has been shown to shorten postoperative LOS in patients undergoing cardiac surgery or lung cancer resection, 12 , 23 ) and we believe that similar results were obtained in this study.…”

Section: Discussionsupporting

confidence: 86%

Effect of Early Postoperative Rehabilitation on Length of Hospital Stay after Robot-assisted Radical Prostatectomy

Higuchi,

Matsugaki,

Tomisaki

et al. 2023

PRM

View full text Add to dashboard Cite

Objectives : This study assessed how early postoperative rehabilitation interventions affected the duration of hospital stay in patients with prostate cancer who had radical prostatectomy with robotic assistance. Methods : From the Japanese Diagnosis Procedure Combination database, we extracted case data for patients discharged between April 2014 and March 2020. Patients were recognized by code C61 from the International Classification of Diseases, 10th Edition. We ran a multilevel linear regression analysis to investigate the impact of early rehabilitation on the duration of hospital stay. Results : There were 2151 participants in the trial. In patients with prostate cancer who had resection utilizing robotic-assisted devices, early rehabilitation was related to a substantial decrease in duration of hospital stay (coefficient, −0.86; 95% CI, −1.64 to −0.07; P=0.032). Conclusions : Early postoperative rehabilitation may contribute to shorter hospital stays in patients with prostate cancer at high risk of both postoperative complications and a decline in their ability to perform activities of daily living.

show abstract

Section: Discussionsupporting

confidence: 86%

Effect of Early Postoperative Rehabilitation on Length of Hospital Stay after Robot-assisted Radical Prostatectomy

Higuchi,

Matsugaki,

Tomisaki

et al. 2023

PRM

View full text Add to dashboard Cite

show abstract

“…Many prior studies have similarly identified age ≥60 years as an independent risk factor [ 9 , 11 ]. In contrast, patients <40 years old exhibited a relatively low the incidence of prolonged LOS after lobectomy (6.3%, 2/32), potentially owing to better cardiopulmonary functions and increased tolerance in this population, which is in line with Valsangkar et al [ 13 ]. In addition, being a current smoker is a high-risk factor that can be adjusted prior to undergoing the surgery.…”

Section: Discussionsupporting

confidence: 80%

Identification of preoperative risk factors associated with prolonged length of stay after lobectomy

Zheng

Huang

Liang

2023

Heliyon

View full text Add to dashboard Cite

“…Exercise can improve physical function by adaptations in cardiovascular (particularly aerobic exercise) and skeletal muscle systems (particularly resistance exercise) 23. Greater physical function has been shown to decrease hospital length of stay, while patients with reduced physical function can be referred for risk-reduction interventions such as exercise to improve their tolerance of treatment and side effects 70. Physical therapy programmes focused on mobility have also displayed evidence to reduce hospital length of stay and risk of readmissions,71 with potential reduction in falls risk a contributing factor.…”

Section: Discussionmentioning

confidence: 99%

“…23 Greater physical function has been shown to decrease hospital length of stay, while patients with reduced physical function can be referred for risk-reduction interventions such as exercise to improve their tolerance of treatment and side effects. 70 Physical therapy programmes focused on mobility have also displayed evidence to reduce hospital length of stay and risk of readmissions, 71 with potential reduction in falls risk a contributing factor. Exercise has also been shown to reduce depressive and anxious symptoms, 23 which may be important clinically given poor psychological health associated with longer hospital length of stay and higher likelihood of readmissions.…”

Section: Systematic Reviewmentioning

confidence: 99%

Effect of exercise interventions on hospital length of stay and admissions during cancer treatment: a systematic review and meta-analysis

Mizrahi,

Lai,

Wareing

et al. 2023

Br J Sports Med

View full text Add to dashboard Cite

ObjectiveTo assess the effect of participating in an exercise intervention compared with no exercise during cancer treatment on the duration and frequency of hospital admissions.DesignSystematic review and meta-analysis.Data sourcesMEDLINE, EMBASE, PEDro and Cochrane Central Registry of Randomized Controlled Trials.Eligibility criteria for selecting studiesRandomised studies published until August 2023 evaluating exercise interventions during chemotherapy, radiotherapy or stem cell transplant regimens, compared with usual care, and which assessed hospital admissions (length of stay and/or frequency of admissions).Study appraisal and synthesisStudy quality was assessed using the Cochrane Risk-of-Bias tool and Grading of Recommendations Assessment, Development and Evaluation assessment. Meta-analyses were conducted by pooling the data using random-effects models.ResultsOf 3918 screened abstracts, 20 studies met inclusion criteria, including 2635 participants (1383 intervention and 1252 control). Twelve studies were conducted during haematopoietic stem cell transplantation regimens. There was a small effect size in a pooled analysis that found exercise during treatment reduced hospital length of stay by 1.40 days (95% CI: −2.26 to −0.54 days; low-quality evidence) and lowered the rate of hospital admission by 8% (difference in proportions=−0.08, 95% CI: −0.13 to −0.03, low-quality evidence) compared with usual care.ConclusionExercise during cancer treatment can decrease hospital length of stay and admissions, although a small effect size and high heterogeneity limits the certainty. While exercise is factored into some multidisciplinary care plans, it could be included as standard practice for patients as cancer care pathways evolve.

show abstract

Association Between Patient Physical Function and Length of Stay After Thoracoscopic Lung Cancer Surgery

Cited by 10 publications

References 21 publications

Effect of Early Postoperative Rehabilitation on Length of Hospital Stay after Robot-assisted Radical Prostatectomy

Effect of Early Postoperative Rehabilitation on Length of Hospital Stay after Robot-assisted Radical Prostatectomy

Identification of preoperative risk factors associated with prolonged length of stay after lobectomy

Effect of exercise interventions on hospital length of stay and admissions during cancer treatment: a systematic review and meta-analysis

Contact Info

Product

Resources

About