Expedited Discharge of Patients Undergoing Pedicled TRAM Flap Breast Reconstruction Procedure in Ambulatory Surgical Facility: Quality of Recovery Outcomes
Women's College Hospital is the first and only independent ambulatory care hospital in
Ontario, and the only hospital in Ontario with a primary focus on women's health. Patients
undergoing breast reconstruction following breast cancer at our institution are now
undergoing expedited discharge at 18 hrs postoperatively. To facilitate next day discharge,
a multidisciplinary group was formed to determine the best evidence for perioperative care
to ensure patient safety and excellent postoperative recovery. Minimizing length of stay has
obvious cost savings for hospitals, but for patients the advantages include minimizing
exposure to hospital-acquired infections and an earlier return to their more familiar home
environment. The need to balance the advantage of early discharge to patient complications,
however, must be addressed. As other hospitals across the country face the same length of
stay constraints as has been our experience, this study will provide important data on the
quality of recovery of patients undergoing early discharge following breast reconstructive
surgery.
Observational
Observational Model: Cohort, Time Perspective: Prospective
The primary outcome measure is the quality of recovery at discharge as assessed by the QoR27
The patient will be met with by the study coordinator, just before discharge to administer the Quality of Recovery Questionnaire (QoR27)
On average between 18 and 24 hours postoperatively
No
John L Semple, MD, MSc, FRCSC, FACS
Principal Investigator
Women's College Hospital
Canada: Ethics Review Committee
2010-0050-E
NCT01438268
July 2011
December 2012
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