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Alison Smith

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    MA17 - New Methods to Improve Lung Cancer Patients Outcomes (ID 918)

    • Event: WCLC 2018
    • Type: Mini Oral Abstract Session
    • Track: Nursing and Allied Professionals
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 13:30 - 15:00, Room 205 AC
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      MA17.11 - Multi-Centred, Prospective, Audit to Identify Readmission Causes and Complications Within 30 of Primary Lung Cancer Surgery (ID 11916)

      14:40 - 14:45  |  Author(s): Alison Smith

      • Abstract
      • Presentation
      • Slides


      Surgery remains the first choice of curative treatment, for patients with non-small lung cancer, the proportion of patients undergoing surgery has risen in recent years. Post-operative complications are well recognised following curative lung cancer surgery but there is limited data on readmission rates and causes . The UK Thoracic Surgery Group (TSG), a subgroup of the National Lung Cancer Forum (NLCNF) conducted a multicentre audit to assess readmission potential causes and patient experience.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      The audit involved 6 UK thoracic surgical centres with prospective data collection over 3 months from primary lung cancer resection patients. Patients were contacted 1 month post discharge by telephone. Data collection included demographics, socioeconomic, smoking status, comorbidities, surgery, postoperative recovery, discharge satisfaction and readmission details.

      4c3880bb027f159e801041b1021e88e8 Result

      268 patients underwent thoracic surgery, the overall readmission rate was 11% (30), with variable readmission rate across the centres (range 3-24%), most readmission occurred within 7 days of discharge 47% (14) with patients being readmitted to a hospital that did not performed the procedure 43%(17). The most common cause of readmission was mainly pulmonary related with chest infections being largest cause, pain, wound infection and pneumothorax were also common. Length of stay following readmission was longer than initial surgical stay median 8 (range 0-94) vs 5 (range 2-27).Type of surgical approach had no impact on readmission. However readmission was associated with smoking, post-operative complications, discharge with drain, length of stay post-surgery and the patient’s readiness for discharge (see table 1).

      table 1.png

      8eea62084ca7e541d918e823422bd82e Conclusion

      This audit provides a broad overview of the pattern and trend of readmissions rates within 30 days post discharge following lung cancer resection. Whilst not every readmission can be avoided, there is opportunity to identify and prevent patient readmission. Listening to patient’s assessment of their readiness for discharge is crucial to facilitating patient compliance with discharge and confidence in community carers.


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