Key result
Implementation of a modified nurse-led COUGH bundle significantly reduced oxygen consumption and hospital length of stay in obese patients after bariatric surgery.
Why the study?
Obesity adversely affects postsurgical pulmonary outcomes, but no standardized pulmonary care bundle was available in the postanesthesia care unit for bariatric surgery patients at a hospital in Singapore.
Does a modified nurse-led COUGH bundle reduce oxygen usage and length of stay in obese patients after bariatric surgery?
Cohort (n=151)
No
Does a modified nurse-led COUGH bundle reduce oxygen usage and length of stay in obese patients after bariatric surgery?
A modified nurse-led COUGH bundle can reduce oxygen usage and hospital length of stay for obese patients recovering from bariatric surgery.
May warrant PACU bundle adoption for obese bariatric patients; leaves open need for randomized confirmation.
BACKGROUND: Obesity commonly affects postsurgical pulmonary outcomes and is associated with increased oxygen usage, length of recovery and hospital stay, discharge to high levels of care, cost, morbidity, and mortality. LOCAL PROBLEM: No standardized pulmonary care bundle for obese patients after bariatric surgery was available in the postanesthesia care unit (PACU) at a hospital in Singapore. METHODS: This quality improvement project was a prospective, single-cohort, pre- and posttest intervention design with 151 patients recruited. INTERVENTIONS: Teaching and implementation of a modified nurse-led COUGH bundle was carried out on obese patients after their bariatric surgery. RESULTS: Postbariatric surgery patients with the nurse-led COUGH bundle had significantly less consumption of oxygen in the PACU and step-down units. The PACU and hospital length of stay were also reduced. CONCLUSIONS: The modified nurse-led COUGH bundle can reduce patients' oxygen usage and hospital stay after their bariatric surgery.
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Yang et al. (2023) conducted a cohort in Obesity post-bariatric surgery (n=151). Modified nurse-led COUGH bundle vs. Pre-intervention standard care was evaluated on Oxygen consumption and length of stay. Implementation of a modified nurse-led COUGH bundle significantly reduced oxygen consumption and hospital length of stay in obese patients after bariatric surgery.
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