Patient perceived health status, hospital length of stay, and readmission after coronary artery bypass surgery

Article Abstract:

Cardiac surgery patients who are sicker, female, or spend more time in the hospital postoperatively may be more likely to require rehospitalization in the first three months after surgery. Researchers reviewed the health status and postoperative course of 100 cardiac patients. One-fourth of patients were readmitted to the hospital for wound complications, pulmonary edema, cardiac arrhythmia, dyspnea, or other complication postoperatively. Efforts to reduce postoperative lengths-of-stay (PLOSs) did not appear to increase the rate of readmission. Readmitted patients more commonly had longer PLOSs.

Health aspects, Complications and side effects, Coronary artery bypass, Postoperative period

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Factors influencing selected lengths of ICU stay for coronary artery bypass patients

Article Abstract:

Cardiac patients who are under 70 years of age, male, and healthier may be more likely to spend one day or less in intensive care (ICU) after coronary artery bypass surgery. Hospitals have sought to reduce ICU lengths-of-stay to lower the cost of heart surgery. Researchers compared 175 cardiac patients to identify factors which affect the length of ICU stays. Patients who spent more than 24 hours in ICU were more often female, over 70 years old, and to have obstructive pulmonary disease, low cardiac output, or a recent heart attack.

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Effectiveness of a program of early hospital discharge of cardiac surgery patients

Article Abstract:

A program that moves adult cardiac surgery patients from acute care to lower-level services requires clinical pathways and a team specializing in home cardiac care. This Early Discharge Program decreased average patient stay by .34 of a day, while patient cost dropped an average of $1,790. Discharging cardiac patients earlier than usual can, with appropriate safeguards, be safe and cost-effective.

Finance, Surgery, Cardiovascular system, Medical protocols, Home care services, Cardiovascular surgery

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