Key result
Hospitalist comanagement is linked to an ~11% absolute increase in pain-free vascular surgery inpatients.
Why the study?
The impact of introducing a hospitalist comanagement service on inpatient vascular surgery pain outcomes was investigated.
Does a hospitalist comanagement service improve pain outcomes in inpatient vascular surgery patients?
Cohort (n=2,110)
No
Does a hospitalist comanagement service improve pain outcomes in inpatient vascular surgery patients?
Absolute Event Rate: 82.97% vs 71.97%
p-value: p=<0.001
Implementing a hospitalist comanagement service for vascular surgery patients significantly improves patient-reported pain scores and satisfaction with pain management.
May support hospitalist comanagement for vascular surgery pain control; hypothesis-generating and requires randomized confirmation before practice change.
Introduction and Objective: This preliminary study aims to investigate the impact of introducing a hospitalist comanagement service on inpatient vascular surgery pain outcomes.Methods: A total of 2110 consecutive patients were studied: 717 patients who were managed before the comanagement system was implemented (May 2011 to December 2012) and 1393 who were comanaged (January 2013 to December 2014).The visual analog pain (VAP) scores (ranging from no pain to severe pain) of each patient were analyzed.In addition, two questions from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey were additionally analyzed.Results: The comanaged cohort experienced significantly higher rates of patients reporting no pain (Comanaged: 82.97%Not comanaged: 71.97%, p=<0.001) and significantly lower rates of mild pain (Comanaged: 7.39%Not comanaged: 12.55%, p=<0.001) and moderate pain (Comanaged: 7.68%Not comanaged: 13.11%, p=<0.001).The rates of severe pain were similar between groups (Comanaged: 1.93%Not comanaged: 2.37%, p=0.51).HCAHPS results showed increased rates of patients reporting that their pain was always well managed, as well as increased rates of patients reporting that the hospital staff always tried their best to manage their pain. Conclusion:The implementation of a vascular co-management service resulted in significantly improved pain scores and improved HCAHPS scores.
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Png et al. (2016) conducted a cohort in Inpatient vascular surgery (n=2,110). Hospitalist comanagement service vs. No comanagement (historical cohort) was evaluated on Rate of patients reporting no pain (p=<0.001). Implementation of a hospitalist comanagement service for vascular surgery inpatients significantly increased the rate of patients reporting no pain from 71.97% to 82.97% (p<0.001).
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