{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:33:19Z","timestamp":1787841199042,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Bronchoscopic lung volume reduction (BLVR) offers several advantages over lung volume reduction surgery, such as faster recovery, fewer complications, and reduced infection risk; however, it also carries a risk of pneumothorax (PTX). This risk has led to the routine practice of admitting patients for observation to the intensive care unit (ICU) across various hospitals. However, the impact of care level, whether in the ICU or general ward, on length of stay (LOS) and postprocedural complications in BLVR patients remains unknown. This study aims to determine whether acuity of care affects LOS and postprocedural complication rates in patients who underwent BLVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We retrospectively reviewed 240 patients\u2019 electronic medical records, calculated median LOS, and compared factors that influence LOS in patients admitted to the pulmonary ward (PW) and the ICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Our data revealed no statistically significant difference between the median LOS between patients who were admitted to the PW (median 3 days, 95% confidence interval [CI]: 3\u20135) versus the ICU (median 3 days, 95% CI: 3\u20135). Postprocedural complications, including PTX, respiratory failure, arrhythmias requiring intervention, rates of valve removal during admission, and time from identification of PTX to chest tube placement, were similar between PW and ICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>With structured nursing education, monitoring post-BLVR patients in a nonhigh-acuity setting appears to be a safe alternative to ICU admission in facilities that perform BLVR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/atm.atm_56_25","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T11:00:22Z","timestamp":1774868422000},"page":"76-81","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Impact of intensive care unit versus general ward monitoring on length of stay in chronic obstructive pulmonary disease patients after bronchoscopic lung volume reduction"],"prefix":"10.4103","volume":"21","author":[{"given":"Andrew M.","family":"Rabah","sequence":"first","affiliation":[{"name":"Wayne State University School of Medicine, Detroit, MI, USA"},{"name":"Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey H.","family":"Jennings","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Henry Ford Health, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Medha R.","family":"Cherabuddi","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Henry Ford Health, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca A.","family":"Priebe","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Henry Ford Health, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph F.","family":"Hanania","sequence":"additional","affiliation":[{"name":"Wayne State University School of Medicine, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avi","family":"Cohen","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Henry Ford Health, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"R1-20260415","doi-asserted-by":"crossref","first-page":"e2346598","DOI":"10.1001\/jamanetworkopen.2023.46598","article-title":"Global burden of chronic obstructive pulmonary disease through 2050","volume":"6","author":"Boers","year":"2023","journal-title":"JAMA Netw Open"},{"key":"R2-20260415","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1186\/s12931-022-02268-3","article-title":"Exercise capacity and physical activity in COPD patients treated with a LAMA\/LABA combination: A systematic review and meta-analysis","volume":"23","author":"Miravitlles","year":"2022","journal-title":"Respir Res"},{"key":"R3-20260415","doi-asserted-by":"crossref","first-page":"S2775","DOI":"10.21037\/jtd.2018.08.75","article-title":"Postoperative complications and management after lung volume reduction surgery","volume":"10","author":"Lacour","year":"2018","journal-title":"J Thorac Dis"},{"key":"R4-20260415","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1164\/rccm.201803-0590OC","article-title":"A multicenter randomized controlled trial of zephyr endobronchial valve treatment in heterogeneous emphysema (LIBERATE)","volume":"198","author":"Criner","year":"2018","journal-title":"Am J Respir Crit Care Med"},{"key":"R5-20260415","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1183\/09031936.97.10010208","article-title":"Lung volume reduction surgery for emphysema","volume":"10","author":"Russi","year":"1997","journal-title":"Eur Respir J"},{"key":"R6-20260415","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1183\/09031936.00169311","article-title":"Increased oxygen pulse after lung volume reduction surgery is associated with reduced dynamic hyperinflation","volume":"40","author":"Lammi","year":"2012","journal-title":"Eur Respir J"},{"key":"R7-20260415","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1016\/S0003-4975(00)01646-5","article-title":"Reduction pneumoplasty versus respiratory rehabilitation in severe emphysema: A randomized study. 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