Key result
Implementation of a multidisciplinary perioperative clinical pathway for patients with pulmonary hypertension reduced 30-day readmission rates for hospitalized patients from 50% to 0% (p=0.003).
Why the study?
Does a multidisciplinary perioperative pathway improve outcomes and care coordination in patients with pulmonary hypertension undergoing non-cardiac surgery?
Observational (n=38)
No
Does a multidisciplinary perioperative pathway improve outcomes and care coordination in patients with pulmonary hypertension undergoing non-cardiac surgery?
Absolute Event Rate: 0% vs 50%
Absolute Risk Reduction: 50%
Number Needed to Treat: 2
p-value: p=0.003
Implementation of a multidisciplinary perioperative pathway for patients with pulmonary hypertension undergoing non-cardiac surgery may reduce 30-day readmissions.
May support fewer readmissions with multidisciplinary pathways in pulmonary hypertension; leaves open need for prospective validation.
Morbidity and mortality risk increase considerably for patients with pulmonary hypertension (PH) undergoing non-cardiac surgery. Unfortunately, there are no comprehensive, evidence-based guidelines for perioperative evaluation and management of these patients. We present a brief review of the literature on perioperative outcomes for patients with PH and describe the implementation of a collaborative perioperative management program for these high-risk patients at a tertiary academic center.
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Steppan et al. (2018) conducted an observational in Pulmonary hypertension undergoing non-cardiac surgery (n=38). Multidisciplinary perioperative clinical pathway vs. Standard care (Pre-pathway) was evaluated on 30-day readmission rate for hospitalized patients (p=0.003). Implementation of a multidisciplinary perioperative clinical pathway for patients with pulmonary hypertension reduced 30-day readmission rates for hospitalized patients from 50% to 0% (p=0.003).
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