Safety of air travel in the immediate postoperative period after anatomic pulmonary resection
Abstract Objective The study objective was to determine whether air travel in the immediate postoperative period after anatomic pulmonary resection is associated with increased morbidity or mortality. Methods All patients undergoing anatomic pulmonary resection at the Mayo Clinic (2005-2012) were id...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2017-05, Vol.153 (5), p.1191-1196.e1 |
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| creator | Cassivi, Stephen D., MD Pierson, Karlyn E., MAN, RN Lechtenberg, Bettie J., MBA Nichols, Francis C., MD Shen, K. Robert, MD Allen, Mark S., MD Wigle, Dennis A., MD, PhD |
| description | Abstract Objective The study objective was to determine whether air travel in the immediate postoperative period after anatomic pulmonary resection is associated with increased morbidity or mortality. Methods All patients undergoing anatomic pulmonary resection at the Mayo Clinic (2005-2012) were identified and sent surveys querying their mode of transportation home after hospital dismissal and any complications encountered during or shortly after this travel. This included pneumonia, hospital readmission, deep venous thrombosis/pulmonary embolism, and specific pleural complications (pneumothorax, empyema, or chest tube placement). We compared the results of patients returning home by conventional ground travel with the results of patients using air travel. Results Surveys were sent to 1833 patients, and 817 responded (44.6% response rate). A total of 96 responders (11.8%) used air travel (median distance, 1783 km; range, 486-9684 km) compared with 278 km (range, 1-2618 km) for the 721 responders (88.2%) using ground travel ( P |
| doi_str_mv | 10.1016/j.jtcvs.2016.12.035 |
| format | Article |
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Robert, MD ; Allen, Mark S., MD ; Wigle, Dennis A., MD, PhD</creator><creatorcontrib>Cassivi, Stephen D., MD ; Pierson, Karlyn E., MAN, RN ; Lechtenberg, Bettie J., MBA ; Nichols, Francis C., MD ; Shen, K. Robert, MD ; Allen, Mark S., MD ; Wigle, Dennis A., MD, PhD</creatorcontrib><description>Abstract Objective The study objective was to determine whether air travel in the immediate postoperative period after anatomic pulmonary resection is associated with increased morbidity or mortality. Methods All patients undergoing anatomic pulmonary resection at the Mayo Clinic (2005-2012) were identified and sent surveys querying their mode of transportation home after hospital dismissal and any complications encountered during or shortly after this travel. This included pneumonia, hospital readmission, deep venous thrombosis/pulmonary embolism, and specific pleural complications (pneumothorax, empyema, or chest tube placement). We compared the results of patients returning home by conventional ground travel with the results of patients using air travel. Results Surveys were sent to 1833 patients, and 817 responded (44.6% response rate). A total of 96 responders (11.8%) used air travel (median distance, 1783 km; range, 486-9684 km) compared with 278 km (range, 1-2618 km) for the 721 responders (88.2%) using ground travel ( P < .0001). Male patients used air travel more than female patients (14.4% vs 9.3%; P = .02). Otherwise, no significant differences were observed between the 2 groups. The median duration of hospitalization was 5 days in both groups using air travel (range, 1-25 days) and ground travel (range, 1-42 days) ( P = .83). There was no mortality due to postdismissal travel. The rates of major complication after hospital dismissal for those using air and ground travel were 8.3% and 7.8%, respectively ( P = .87). Conclusions Overall major complications are rare in the immediate posthospital dismissal period after lung resection. Air travel during this period was not associated with any significant increase in risk of complications when compared with conventional ground transportation and seems to be a safe option for patients after chest tube removal.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2016.12.035</identifier><identifier>PMID: 28411750</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Air Travel ; Automobile Driving ; Cardiothoracic Surgery ; Chest Tubes ; Databases, Factual ; Female ; flying ; Humans ; Intubation, Intratracheal - adverse effects ; Intubation, Intratracheal - instrumentation ; Length of Stay ; lung surgery ; Male ; Middle Aged ; Minnesota ; Patient Discharge ; Patient Safety ; Pneumonectomy - adverse effects ; Pneumonectomy - mortality ; pneumothorax ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Retrospective Studies ; Risk Assessment ; Risk Factors ; safety ; Time Factors ; Treatment Outcome</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2017-05, Vol.153 (5), p.1191-1196.e1</ispartof><rights>The American Association for Thoracic Surgery</rights><rights>2017 The American Association for Thoracic Surgery</rights><rights>Copyright © 2017 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-971f94af70a89ea36ec72278dd99dcff0326ba047afd1b7465007b05e73984533</citedby><cites>FETCH-LOGICAL-c459t-971f94af70a89ea36ec72278dd99dcff0326ba047afd1b7465007b05e73984533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jtcvs.2016.12.035$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28411750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cassivi, Stephen D., MD</creatorcontrib><creatorcontrib>Pierson, Karlyn E., MAN, RN</creatorcontrib><creatorcontrib>Lechtenberg, Bettie J., MBA</creatorcontrib><creatorcontrib>Nichols, Francis C., MD</creatorcontrib><creatorcontrib>Shen, K. Robert, MD</creatorcontrib><creatorcontrib>Allen, Mark S., MD</creatorcontrib><creatorcontrib>Wigle, Dennis A., MD, PhD</creatorcontrib><title>Safety of air travel in the immediate postoperative period after anatomic pulmonary resection</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Abstract Objective The study objective was to determine whether air travel in the immediate postoperative period after anatomic pulmonary resection is associated with increased morbidity or mortality. Methods All patients undergoing anatomic pulmonary resection at the Mayo Clinic (2005-2012) were identified and sent surveys querying their mode of transportation home after hospital dismissal and any complications encountered during or shortly after this travel. This included pneumonia, hospital readmission, deep venous thrombosis/pulmonary embolism, and specific pleural complications (pneumothorax, empyema, or chest tube placement). We compared the results of patients returning home by conventional ground travel with the results of patients using air travel. Results Surveys were sent to 1833 patients, and 817 responded (44.6% response rate). A total of 96 responders (11.8%) used air travel (median distance, 1783 km; range, 486-9684 km) compared with 278 km (range, 1-2618 km) for the 721 responders (88.2%) using ground travel ( P < .0001). Male patients used air travel more than female patients (14.4% vs 9.3%; P = .02). Otherwise, no significant differences were observed between the 2 groups. The median duration of hospitalization was 5 days in both groups using air travel (range, 1-25 days) and ground travel (range, 1-42 days) ( P = .83). There was no mortality due to postdismissal travel. The rates of major complication after hospital dismissal for those using air and ground travel were 8.3% and 7.8%, respectively ( P = .87). Conclusions Overall major complications are rare in the immediate posthospital dismissal period after lung resection. Air travel during this period was not associated with any significant increase in risk of complications when compared with conventional ground transportation and seems to be a safe option for patients after chest tube removal.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Air Travel</subject><subject>Automobile Driving</subject><subject>Cardiothoracic Surgery</subject><subject>Chest Tubes</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>flying</subject><subject>Humans</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Length of Stay</subject><subject>lung surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minnesota</subject><subject>Patient Discharge</subject><subject>Patient Safety</subject><subject>Pneumonectomy - adverse effects</subject><subject>Pneumonectomy - mortality</subject><subject>pneumothorax</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>safety</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi1ERbctvwAJ-cglwR9xHB9AQhVQpEo9lEq9IMvrjIVDEgfbWWn_PQ5bOHDhNDPS-87HMwi9oqSmhLZvh3rI9pBqVoqasppw8QztKFGyajvx-BztCGGsEozxc3SR0kAIkYSqF-icdQ2lUpAd-nZvHOQjDg4bH3GO5gAj9jPO3wH7aYLemwx4CSmHBaLJ_lAqiD702LgMEZvZ5DB5i5d1nMJs4hFHSGCzD_MVOnNmTPDyKV6ih08fv17fVLd3n79cf7itbCNUrpSkTjXGSWI6BYa3YCVjsut7pXrrHOGs3RvSSON6updNK8oleyJActU1gvNL9ObUd4nh5wop68knC-NoZghr0rTrOiWUZJuUn6Q2hpQiOL1EP5WtNSV646oH_Zur3rhqynThWlyvnwas-8Lkr-cPyCJ4dxJAOfPgIepkPcy28IuFhe6D_8-A9__47ehnb834A46QhrDGuRDUVKdi0Pfba7fPUslLSh75L8HnoFQ</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Cassivi, Stephen D., MD</creator><creator>Pierson, Karlyn E., MAN, RN</creator><creator>Lechtenberg, Bettie J., MBA</creator><creator>Nichols, Francis C., MD</creator><creator>Shen, K. Robert, MD</creator><creator>Allen, Mark S., MD</creator><creator>Wigle, Dennis A., MD, PhD</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Safety of air travel in the immediate postoperative period after anatomic pulmonary resection</title><author>Cassivi, Stephen D., MD ; Pierson, Karlyn E., MAN, RN ; Lechtenberg, Bettie J., MBA ; Nichols, Francis C., MD ; Shen, K. Robert, MD ; Allen, Mark S., MD ; Wigle, Dennis A., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-971f94af70a89ea36ec72278dd99dcff0326ba047afd1b7465007b05e73984533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Air Travel</topic><topic>Automobile Driving</topic><topic>Cardiothoracic Surgery</topic><topic>Chest Tubes</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>flying</topic><topic>Humans</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Length of Stay</topic><topic>lung surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minnesota</topic><topic>Patient Discharge</topic><topic>Patient Safety</topic><topic>Pneumonectomy - adverse effects</topic><topic>Pneumonectomy - mortality</topic><topic>pneumothorax</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>safety</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cassivi, Stephen D., MD</creatorcontrib><creatorcontrib>Pierson, Karlyn E., MAN, RN</creatorcontrib><creatorcontrib>Lechtenberg, Bettie J., MBA</creatorcontrib><creatorcontrib>Nichols, Francis C., MD</creatorcontrib><creatorcontrib>Shen, K. Robert, MD</creatorcontrib><creatorcontrib>Allen, Mark S., MD</creatorcontrib><creatorcontrib>Wigle, Dennis A., MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cassivi, Stephen D., MD</au><au>Pierson, Karlyn E., MAN, RN</au><au>Lechtenberg, Bettie J., MBA</au><au>Nichols, Francis C., MD</au><au>Shen, K. Robert, MD</au><au>Allen, Mark S., MD</au><au>Wigle, Dennis A., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety of air travel in the immediate postoperative period after anatomic pulmonary resection</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>153</volume><issue>5</issue><spage>1191</spage><epage>1196.e1</epage><pages>1191-1196.e1</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>Abstract Objective The study objective was to determine whether air travel in the immediate postoperative period after anatomic pulmonary resection is associated with increased morbidity or mortality. Methods All patients undergoing anatomic pulmonary resection at the Mayo Clinic (2005-2012) were identified and sent surveys querying their mode of transportation home after hospital dismissal and any complications encountered during or shortly after this travel. This included pneumonia, hospital readmission, deep venous thrombosis/pulmonary embolism, and specific pleural complications (pneumothorax, empyema, or chest tube placement). We compared the results of patients returning home by conventional ground travel with the results of patients using air travel. Results Surveys were sent to 1833 patients, and 817 responded (44.6% response rate). A total of 96 responders (11.8%) used air travel (median distance, 1783 km; range, 486-9684 km) compared with 278 km (range, 1-2618 km) for the 721 responders (88.2%) using ground travel ( P < .0001). Male patients used air travel more than female patients (14.4% vs 9.3%; P = .02). Otherwise, no significant differences were observed between the 2 groups. The median duration of hospitalization was 5 days in both groups using air travel (range, 1-25 days) and ground travel (range, 1-42 days) ( P = .83). There was no mortality due to postdismissal travel. The rates of major complication after hospital dismissal for those using air and ground travel were 8.3% and 7.8%, respectively ( P = .87). Conclusions Overall major complications are rare in the immediate posthospital dismissal period after lung resection. Air travel during this period was not associated with any significant increase in risk of complications when compared with conventional ground transportation and seems to be a safe option for patients after chest tube removal.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28411750</pmid><doi>10.1016/j.jtcvs.2016.12.035</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Air Travel Automobile Driving Cardiothoracic Surgery Chest Tubes Databases, Factual Female flying Humans Intubation, Intratracheal - adverse effects Intubation, Intratracheal - instrumentation Length of Stay lung surgery Male Middle Aged Minnesota Patient Discharge Patient Safety Pneumonectomy - adverse effects Pneumonectomy - mortality pneumothorax Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Complications - mortality Retrospective Studies Risk Assessment Risk Factors safety Time Factors Treatment Outcome |
| title | Safety of air travel in the immediate postoperative period after anatomic pulmonary resection |
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