Safety of air travel in the immediate postoperative period after anatomic pulmonary resection

Stephen D. Cassivi, Karlyn E. Pierson, Bettie J. Lechtenberg, Francis C. Nichols, K. Robert Shen, Mark S. Allen, Dennis A Wigle

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1191-1196.e1
JournalJournal of Thoracic and Cardiovascular Surgery
Volume153
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Air Travel
Postoperative Period
Safety
Lung
Chest Tubes
Patient Readmission
Empyema
Mortality
Pneumothorax
Pulmonary Embolism
Venous Thrombosis
Pneumonia
Hospitalization
Morbidity

Keywords

  • air travel
  • flying
  • lung surgery
  • pneumothorax
  • safety

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Safety of air travel in the immediate postoperative period after anatomic pulmonary resection. / Cassivi, Stephen D.; Pierson, Karlyn E.; Lechtenberg, Bettie J.; Nichols, Francis C.; Shen, K. Robert; Allen, Mark S.; Wigle, Dennis A.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 153, No. 5, 01.05.2017, p. 1191-1196.e1.

Research output: Contribution to journalArticle

Cassivi, Stephen D. ; Pierson, Karlyn E. ; Lechtenberg, Bettie J. ; Nichols, Francis C. ; Shen, K. Robert ; Allen, Mark S. ; Wigle, Dennis A. / Safety of air travel in the immediate postoperative period after anatomic pulmonary resection. In: Journal of Thoracic and Cardiovascular Surgery. 2017 ; Vol. 153, No. 5. pp. 1191-1196.e1.
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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.",
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AU - Cassivi, Stephen D.

AU - Pierson, Karlyn E.

AU - Lechtenberg, Bettie J.

AU - Nichols, Francis C.

AU - Shen, K. Robert

AU - Allen, Mark S.

AU - Wigle, Dennis A

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N2 - 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.

AB - 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.

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