ArticleThe Korean journal of thoracic and cardiovascular surgery2018
Early Experiences with Ultra-Fast-Track Extubation after Surgery for Congenital Heart Disease at a Single Center.
Article in The Korean journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 17 citations in OpenAlex.
- Immediate extubation post-surgery in cardiac patients: a retrospective single-center case series and literature review.Journal of cardiothoracic surgery · 2026Review
- Review
- Fast-Track Extubation After Cardiac Surgery: A Narrative Review.Journal of cardiovascular development and disease · 2025Review
- Predictors of extubation in the operating room after pediatric cardiac surgery: A single-center retrospective study.Turk gogus kalp damar cerrahisi dergisi · 2023Article
- Anesthetic Management in Adults with Congenital Heart Disease.Current cardiology reports · 2022Review
- Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis.Gland surgery · 2021Article
- Ultra-Fast-Track Extubation in Adult Congenital Heart Surgery.Journal of the American Heart Association · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly extubation after cardiovascular surgery has some clinical advantages, including reduced hospitalization costs. Herein, we review the results of ultra-fast-track (UFT) extubation, which refers to extubation performed on the operating table just after the operation, or within 1-2 hours after surgery, in patients with congenital cardiac disease.
methodsWe performed UFT extubation in patients (n=72) with a relatively simple congenital cardiac defect or who underwent a simple operation starting in September 2016. To evaluate the feasibility and effectiveness of our recently introduced UFT extubation strategy, we retrospectively reviewed 195 patients who underwent similar operations for similar diseases from September 2015 to September 2017, including the 1-year periods immediately before and after the introduction of the UFT extubation protocol. Propensity scores were used to assess the effects of UFT extubation on length of stay (LOS) in the intensive care unit (ICU), hospital LOS, and medical costs.
resultsAfter propensity-score matching using logistic regression analysis, 47 patients were matched in each group. The mean ICU LOS (16.3±28.6 [UFT] vs. 28.0±16.8 [non-UFT] hours, p=0.018) was significantly shorter in the UFT group. The total medical costs (182.6±3.5 [UFT] vs. 187.1±55.6 [non-UFT] ×100,000 Korean won [KRW], p=0.639) and hospital stay expenses (48.3±13.6 [UFT] vs. 54.8±29.0 [non-UFT] ×100,000 KRW, p=0.164) did not significantly differ between the groups.
conclusionUFT extubation decreased the ICU LOS and mechanical ventilation time, but was not associated with postoperative hospital LOS or medical expenses in patients with simple congenital cardiac disease.
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