Key result
Nurse-guided clinical pathway cuts postoperative pneumonia ~33% in cardiac surgery patients.
Why the study?
Collaboration led by a Clinical Nurse Specialist aimed to implement practice changes in cardiac surgery patient care to improve outcomes and reduce complications.
Does a CNS-facilitated clinical pathway program improve clinical and operational outcomes in cardiac surgery patients?
Population
598 cardiac surgery patients undergoing CABG, mitral valve replacement, or aortic valve replacement
Comparison
CNS-facilitated clinical pathway program vs prior standard of care
Design
Collaborative clinical pathway group work process
Authors
Loading...
May support CNS-guided pathways to lower post-cardiac surgery pneumonia; hypothesis-generating and requires randomized confirmation.
Does a CNS-facilitated clinical pathway program improve clinical and operational outcomes in cardiac surgery patients?
Absolute Event Rate: 1.67% vs 2.49%
p-value: p=0.05
A CNS-guided clinical pathway for cardiac surgery patients significantly reduced pneumonia incidence, ventilator time, and length of stay, resulting in substantial cost savings.
Jacavone et al. (1999) studied Cardiac surgery (n=598). Clinical Nurse Specialist-guided clinical pathway program vs. Prior practice was evaluated on Incidence of pneumonia (p=0.05). A Clinical Nurse Specialist-guided clinical pathway program for cardiac surgery patients significantly decreased the incidence of pneumonia from 2.49% to 1.67% (p=0.05).
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: