Key result
Same-day admission for coronary bypass surgery reduced length of stay by two days and yielded a 10% savings in hospital charges compared with a 1981 control group.
Why the study?
Does same-day admission for coronary bypass surgery reduce hospital charges and length of stay in patients with multivessel coronary atherosclerosis and stable angina pectoris?
Cohort
Does same-day admission for coronary bypass surgery reduce hospital charges and length of stay in patients with multivessel coronary atherosclerosis and stable angina pectoris?
Effect estimate: 10% savings
Same-day admission for elective coronary bypass surgery is a feasible strategy that reduces length of stay and hospital costs while being preferred by patients.
May support shorter stays and lower charges for elective CABG; hypothesis-generating and requires randomized confirmation before practice change.
Patients with multivessel coronary atherosclerosis and stable angina pectoris were examined by outpatient testing and admitted to a staging area with their families on the morning of coronary bypass surgery. This experimental group was not hospitalized before surgery. Their hospital charges were compared with those of cohorts of coronary artery surgery patients from 1977 to 1981 who met the same entrance criteria. Length of stay in the hospital was reduced by two days. A 10% savings in hospital charges was realized in the 1981 experimental group as compared with the 1981 control group. A comparison of total hospital charges, adjusted for inflation, shows that 1981 experimental group patients paid 35% less for their hospital room, 45% less for their intensive care period, and 17% less in total charges than the 1977 control group. Interviews indicated that these patients with stable cardiac conditions preferred to stay with their families or friends before surgery.
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Floyd D. Loop (1983) conducted a cohort in Multivessel coronary atherosclerosis and stable angina pectoris. Same-day admission for coronary bypass surgery vs. Prior hospitalization for coronary bypass surgery (1977-1981 cohorts) was evaluated on Hospital charges (10% savings). Same-day admission for coronary bypass surgery reduced length of stay by two days and yielded a 10% savings in hospital charges compared with a 1981 control group.
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