Key result
Fast-track cardiac surgery protocol yields a ~6% ICU readmission rate, linked to longer clamp times.
Why the study?
A fast-track protocol was developed to support perioperative management of cardiac surgery patients amid challenges of limited ICU beds and nursing staff.
Observational (n=100)
No
The abstract describes the development of a fast-track concept for perioperative management in a new cardiac surgery unit.
May not support routine fast-track adoption; leaves open whether perfusion or cross-clamp times predict ICU readmission.
Background: Cardiac Surgery dept. is a new unit of Joint Corps Armed Forces since March 2013.In order to support the project of organization and opening of a direct admission CS-ICU supported by minimum but well trained staff nurses we developed a fast-track concept.Methods: After an 8 months observation period, cooperation with the other parts of the dept.and the local medical ethics committee approval, we put in application the use of Leipzig fast-track protocol.It is about well-prepared but not selected patients.It regards their perioperative period until they discharge hospital.The database contains these 3 perioperative periods as multifactorial indicators.Results: Readmission is associated with patient outcomes.ASA, NYHA, perfusion XCL time and temperature at admission are predictors 1 of early extubation, short duration of ICU care, hospitalization and readmission.It also proves a high quality level of CS-ICU organization, based on the use of protocols as ORCHESTRA study 2 suggest, ready to respond challenges. Conclusion:In well preoperative prepared patients, we found that the Leipzig fasttrack protocol.3 is safe for cardiac surgery patients and an efficient method to combat the problem of decreasing numbers of ICU beds, working nurses and to save costs as a result of shortened length of stay.
No takes yet. Share an insight, caveat, or question.
A 2017 study conducted an observational in Cardiac Surgery (n=100). Leipzig fast-track protocol was evaluated on ICU Readmission. Implementation of the Leipzig fast-track protocol in non-emergency cardiac surgery patients resulted in an overall ICU readmission rate of 6%, which was significantly associated with higher perfusion time (p=0.013) and cross-clamp time (p=0.02).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: