{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:00:22Z","timestamp":1790316022844,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fast\u2010track (FT) protocol is an established but not standardized approach in cardiac surgery. We aimed to describe our FT protocol and to compare outcomes before and after the protocol implementation (non\u2010FT group and FT group, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fast\u2010track protocol was implemented in March 2021 in our institution. All patients who underwent median sternotomy from January 2018 to June 2024 were identified. Patient characteristics and outcomes were compared between the FT group and non\u2010FT group, using propensity\u2010score matching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 456 patients, primarily aortic valve replacement, mitral valve repair or replacement, and root and ascending aortic surgery, were included. Of 456, 261 patients were the FT group and 195 patients were the non\u2010FT group. In the FT group, 91.6% of patients were extubated in the OR (vs. 42.1% in the non\u2010FT group,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In the FT group, 193 (73.9%) were discharged within 2 or 3 days after surgery. After propensity\u2010score matching, the median hospital length of stays (LOS) was significantly shorter in the FT group (3 days vs. 4 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Baseline characteristics, operations, and perioperative outcomes were similar between the groups, including 30\u2010day mortality (0.5% vs. 0.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.0), prolonged ventilation (1.1% vs. 1.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.0), discharge to home (1.6% vs. 2.2%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.72), and readmission (3.8% vs. 4.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.80).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The FT protocol was associated with decreased hospital LOS. Additionally, this study suggested that discharge within 3 postoperative days is feasible after most valve surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70896","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:45:50Z","timestamp":1790315150000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Discharge With Fast\u2010Track Protocol After Median Full Sternotomy in Cardiac Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6659-2617","authenticated-orcid":false,"given":"Takuya","family":"Ogami","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliya","family":"Pospishil","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Care and Pain Medicine NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie M.","family":"Eridon","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9406-2947","authenticated-orcid":false,"given":"Peter J.","family":"Neuburger","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Care and Pain Medicine NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucille","family":"Lannan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liora","family":"Rafailova","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery NYU Langone Health New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/78.5.606"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.10.164"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.1153"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003587.pub3"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-022-01815-9"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-014-0468-2"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2021.04.020"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2023.09.031"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2021189"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.020201"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e318193c423"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy100"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2023.08.019"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2022.12.033"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13102903"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.02.087"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.113.6.1481"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02540-1"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-009-0703-5"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000339859"}],"container-title":["Catheterization 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