Key result
Nurse-led transitional care is linked to reduced readmissions and improved QoL after lower limb vascular surgery.
Why the study?
The impact of nurse-led transitional care programmes on management and outcomes of patients undergoing lower limb vascular surgery for peripheral arterial disease was unclear.
Do nurse-led transitional care programmes improve outcomes in adults hospitalised with peripheral vascular disease who have undergone major surgery?
Do nurse-led transitional care programmes improve outcomes in adults hospitalised with peripheral vascular disease who have undergone major surgery?
Nurse-led transitional care programmes incorporating education and telenursing are associated with reduced hospital readmissions and improved quality of life in patients with peripheral arterial disease undergoing major surgery.
May support nurse-led transitional care after vascular surgery; extends evidence to this population but leaves causality open pending RCTs.
Background: Peripheral arterial disease (PAD) affects between 3% and 10% of the global population. Transitional care programmes (TCPs) aim to ensure continuity between hospital-based acute care and primary healthcare. Nurses play a pivotal role in supporting this transition. TCPs may reduce hospital readmissions, emergency department (ED) attendances and improve patients' quality of life (QoL). This scoping review examines whether nurse-led TCP improves the management of patients undergoing lower limb vascular surgery, including the effectiveness of remote (telehealth) delivery. Methods: This review followed the Joanna Briggs Institute (JBI) methodology. Eligible studies included adults hospitalised with peripheral vascular disease who had undergone major surgery. A comprehensive search of PubMed, CINAHL, Web of Science, Scopus, JBI Evidence Synthesis and grey literature via Google Scholar was conducted for studies published between 1 January 2000 and 30 June 2024. Results: Of 888 papers screened, 6 met the inclusion criteria. Nurse-led TCPs were associated with reduced hospital readmissions and improved patient reported QoL. No significant differences were observed in unplanned surgery, major amputation, or mortality. Conclusion: TCPs are associated with improved patient QoL outcomes and reduces hospital readmissions when incorporating education, telenursing, and a multiprofessional approach - led by a transition nurse.
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Mozzarelli et al. (2025) conducted a review in Peripheral arterial disease (n=6). Nurse-led transitional care programmes was evaluated on Hospital readmissions and patient reported QoL. Nurse-led transitional care programmes were associated with reduced hospital readmissions and improved patient-reported quality of life in adults undergoing lower limb vascular surgery.
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