2.50
Hdl Handle:
http://hdl.handle.net/10755/166091
Category:
Abstract
Type:
Presentation
Title:
Length Of Stay And Patient Outcomes After Cardiac Surgery
Author(s):
Warner, Christi
Author Details:
Christi Warner, PhD, Crawford Long Hospital of Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia, USA, (updated February 2015) email: christideatonpa@medschl.cam.ac.uk
Abstract:
Fast-track recovery of coronary artery bypass surgery (CABS) patients is becoming the standard of practice, resulting in decreased postoperative lengths of stay (PLOS). The impact of decreased PLOS on recovery, readmission rates after surgery, quality of life (QOL), and satisfaction with care was evaluated in 100 CABS patients and families. QOL was assessed at time of surgery and three months after discharge using the Health Status Questionnaire (HSQ-12), a 12 item instrument derived from the Medical Outcomes Study Short Form 36. Patient outcomes, and family and patient satisfaction were determined at three months post discharge. Patients were 81% male, with mean age of 66 ( 10, and mean ejection fraction (EF) 51 ( 11. Sixty-six percent of the patients had hypertension. 71% hyperlipidemia, 61% previous MI, 33% had diabetes, 25% had left main coronary artery disease, 20% had heart failure, 13% had previous CABS, and 3% had non-elective surgery. PLOS ranged from 3 to 31 days with mean 5 ( 4 days. Readmission within three months was 26%, although not all were related to the surgery or the patients underlying heart disease. Readmitted patients had longer PLOS than non-readmitted (7 ( 7 days vs. 5 ( 2 days, p< .03). More patients (76%) than families (66%) thought PLOS was appropriate, and perception did not correlate with actual PLOS. Most patients (90%) and families (82%) were satisfied with in-hospital education, however 31% reported problems at home for which they were unprepared. Feeling little or no confidence to provide care at home was reported by 27% of patients and 14% of families. All QOL subscales improved at three months, but only social functioning, emotional functioning, and pain were significant (p < .007). Readmitted patients tended to be older, female, less confident of providing care at home, have worse baseline QOL scores, and had significantly worse QOL scores at three months. The conclusions from this study are that patients at risk for readmission after CABS may be identifiable by longer PLOS, lower baseline QOL scores, age and gender. Hospital education should be supplemented with a stratified program of outpatient education and support for optimal patient recovery after CABS.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleLength Of Stay And Patient Outcomes After Cardiac Surgeryen_GB
dc.contributor.authorWarner, Christien_US
dc.author.detailsChristi Warner, PhD, Crawford Long Hospital of Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia, USA, (updated February 2015) email: christideatonpa@medschl.cam.ac.uken_US
dc.identifier.urihttp://hdl.handle.net/10755/166091-
dc.description.abstractFast-track recovery of coronary artery bypass surgery (CABS) patients is becoming the standard of practice, resulting in decreased postoperative lengths of stay (PLOS). The impact of decreased PLOS on recovery, readmission rates after surgery, quality of life (QOL), and satisfaction with care was evaluated in 100 CABS patients and families. QOL was assessed at time of surgery and three months after discharge using the Health Status Questionnaire (HSQ-12), a 12 item instrument derived from the Medical Outcomes Study Short Form 36. Patient outcomes, and family and patient satisfaction were determined at three months post discharge. Patients were 81% male, with mean age of 66 ( 10, and mean ejection fraction (EF) 51 ( 11. Sixty-six percent of the patients had hypertension. 71% hyperlipidemia, 61% previous MI, 33% had diabetes, 25% had left main coronary artery disease, 20% had heart failure, 13% had previous CABS, and 3% had non-elective surgery. PLOS ranged from 3 to 31 days with mean 5 ( 4 days. Readmission within three months was 26%, although not all were related to the surgery or the patients underlying heart disease. Readmitted patients had longer PLOS than non-readmitted (7 ( 7 days vs. 5 ( 2 days, p< .03). More patients (76%) than families (66%) thought PLOS was appropriate, and perception did not correlate with actual PLOS. Most patients (90%) and families (82%) were satisfied with in-hospital education, however 31% reported problems at home for which they were unprepared. Feeling little or no confidence to provide care at home was reported by 27% of patients and 14% of families. All QOL subscales improved at three months, but only social functioning, emotional functioning, and pain were significant (p < .007). Readmitted patients tended to be older, female, less confident of providing care at home, have worse baseline QOL scores, and had significantly worse QOL scores at three months. The conclusions from this study are that patients at risk for readmission after CABS may be identifiable by longer PLOS, lower baseline QOL scores, age and gender. Hospital education should be supplemented with a stratified program of outpatient education and support for optimal patient recovery after CABS.en_GB
dc.date.available2011-10-27T14:40:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:40:01Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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