Key result
Preoperative optimization utilizing the time from referral to surgery improves patient outcomes and reduces length of stay and healthcare costs after coronary artery bypass grafting.
Why the study?
Since the 2019 ERAS Cardiac guidelines, significant research has added guidance regarding preoperative optimization and accelerated recovery for patients undergoing CABG.
Does preoperative optimization improve patient outcomes and reduce length of stay in patients undergoing coronary artery bypass grafting?
Does preoperative optimization improve patient outcomes and reduce length of stay in patients undergoing coronary artery bypass grafting?
Preoperative optimization utilizing the time from referral to surgery can improve outcomes and reduce length of stay and costs for patients undergoing CABG.
Recent evidence refines preoperative CABG optimization; extends 2019 ERAS guidelines but leaves standardized adoption open pending trials.
PURPOSE OF REVIEW: This review discusses current guidelines and evidence-based care for the preoperative optimization of patients who are undergoing coronary artery bypass grafting (CABG) and for enabling rapid discharge after surgery. RECENT FINDINGS: Since the Enhanced Recovery After Cardiac Surgery Society (ERAS Cardiac) issued guidelines for perioperative care, in 2019, there has been a significant body of research that has added to and provided further guidance regarding preoperative optimization and accelerated recovery after CABG. SUMMARY: A review of the current literature provides a framework for a pragmatic approach to preoperative optimization, utilizing the time from referral to surgery to mitigate multiple aspects of the patient condition, leading to improved patient outcomes and reduced length of stay and cost to the healthcare system.
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Ponnambalam et al. (2023) conducted a review in Coronary artery bypass grafting (CABG). Preoperative optimization was evaluated. Preoperative optimization utilizing the time from referral to surgery improves patient outcomes and reduces length of stay and healthcare costs after coronary artery bypass grafting.
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