Abstract
In Nagasaki University Hospital, the patients undergoing surgery with abnormal respiratory function have been automatically referred to specialized clinic by Medical Support Center (MSC) since July 2016 to reduce surgery cancellations due to insufficient preoperative evaluation. Whether the MSC system decreased post-hospital surgery cancellation, variance rate, or length of hospital stays in patients received “lobectomy” were retrospectively compared between Period A (n = 264, before MSC introduction) and Period B (n = 264, after MSC introduction). Four patients’ operations were cancelled after hospitalization in Period A, while 0 patients in Period B (p < 0.05). The length of hospital stay, operation time, anesthesia time, and postoperative extubation oxygen administration time were all shorten in Period B significantly. “Period B”, “operation time”, and “postoperation oxygenation time” were independent factors for “hospital days”, but chronic obstructive pulmonary disease or age were not. The preoperative intervention eliminated the operation cancellation. Preoperative MSC interventions may have contributed to the reduction in hospital days even for the patients with pulmonary dysfunction.
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Acknowledgements
The authors thank all the subjected patients. The authors thank to Mayumi Yamamura, Midori Watarizaki, Aiko Takamura, Tomo Morizaki, Marie Takeda, and Maria Urakawa as MSC nurses, Takuya Ushijima for collecting the data from electronic medical records system, and Hiroaki Aihara for his assistance as data management.
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Eriho Yamaguchi: Writing- Original draft preparation. Yasushi Obase: Conceptualization, Methodology, Writing- Reviewing and Editing. Susumu Fukahori: Methodology. Jun Iriki: Validation. Tetsuya Kawano: Data curation. Noriho Sakamoto: Methodology. Ryoichiro Doi: Conceptualization, Data curation. Keitaro Matsumoto: Data curation. Tomoshi Tsuchiya: Data curation. Chizu Fukushima: Data curation, Formal analysis. Takehiro Matsumoto: Supervision. Takeshi Nagayasu: Supervision. Hiroshi Mukae: Supervision.
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Yamaguchi, E., Obase, Y., Fukahori, S. et al. Preoperative respiratory intervention eliminated the operation cancelations of lobectomy surgery. J Med Syst 46, 29 (2022). https://doi.org/10.1007/s10916-022-01811-5
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DOI: https://doi.org/10.1007/s10916-022-01811-5