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Local policies may extend ICU stays beyond clinical recovery after cardiac surgery; leaves open whether standardized protocols can safely improve utilization.
Length of stay in the ICU is one of the factors limiting operating room utilization in cardiac surgery and consequently one of the primary cost-effectiveness parameters. At present it seems that factors guiding LOS in ICU after cardiac surgery has reached a stage, where the need for patient turnover, practical convenience and especially local policies are superior to what is actually possible and even many different recovery scores have been used and refined following new monitoring techniques length of stay is not a valid parameter when comparing institutions or procedures. ICU research and quality programmes are needed to make goal-oriented programmes. The purpose of this prospective study was to create an objective and reproducible ICU discharge model to be used in research and as an administrative logistic tool in cardiac surgery.
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Jakobsen et al. (2009) studied this question.
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